Healthcare Provider Details
I. General information
NPI: 1851371017
Provider Name (Legal Business Name): KAREN J WOODS OT
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/21/2006
Last Update Date: 01/26/2024
Certification Date: 01/25/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9430 PARK WEST BLVD STE 230
KNOXVILLE TN
37923-4204
US
IV. Provider business mailing address
PO BOX 306556
NASHVILLE TN
37230-6556
US
V. Phone/Fax
- Phone: 865-560-8550
- Fax: 865-560-8551
- Phone: 865-243-8183
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225XH1200X |
| Taxonomy | Hand Occupational Therapist |
| License Number | CHT9105001221 |
| License Number State | TN |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225X00000X |
| Taxonomy | Occupational Therapist |
| License Number | 0156 |
| License Number State | TN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: