Healthcare Provider Details

I. General information

NPI: 1114847290
Provider Name (Legal Business Name): CHELTSEY NORMAN OTD, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2435 JACKSBORO PIKE
LA FOLLETTE TN
37766-2910
US

IV. Provider business mailing address

2435 JACKSBORO PIKE
LA FOLLETTE TN
37766-2910
US

V. Phone/Fax

Practice location:
  • Phone: 423-556-2250
  • Fax:
Mailing address:
  • Phone: 423-566-2250
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number8629
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: