Healthcare Provider Details

I. General information

NPI: 1265996623
Provider Name (Legal Business Name): KEVIN MICHAEL UHRIK OTR/L, OTD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/29/2019
Last Update Date: 01/29/2025
Certification Date: 01/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 FORT SANDERS WEST BLVD STE 110
KNOXVILLE TN
37922-3355
US

IV. Provider business mailing address

260 FORT SANDERS WEST BLVD STE 110
KNOXVILLE TN
37922-3355
US

V. Phone/Fax

Practice location:
  • Phone: 655-584-4918
  • Fax:
Mailing address:
  • Phone: 865-558-4491
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: