Healthcare Provider Details

I. General information

NPI: 1952342180
Provider Name (Legal Business Name): VALERIE BEATRICE WHITING OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

405 SUGARWOOD DR
KNOXVILLE TN
37934-4669
US

IV. Provider business mailing address

405 SUGARWOOD DR
KNOXVILLE TN
37934-4669
US

V. Phone/Fax

Practice location:
  • Phone: 865-384-4239
  • Fax: 865-675-5975
Mailing address:
  • Phone: 865-384-4239
  • Fax: 865-675-5975

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT0000000480
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code225XH1300X
TaxonomyHuman Factors Occupational Therapist
License NumberOT0000000480
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: