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NPI Code Detail

MEDICARE: EMPATHIA THERAPY AND WELLNESS LLC

MEDICARE: EMPATHIA THERAPY AND WELLNESS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse
2164W00000XLicensed Practical Nurse
3225100000XPhysical Therapist
4225X00000XOccupational Therapist
5235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1437034766
Entity Type Code : Organization
Provider Name (Legal Business Name) : EMPATHIA THERAPY AND WELLNESS LLC
Provider Business Mailing Address
First Line : 408 LAKEWOOD RD
Second Line :
City : KINGSTON
State : TN
Zip : 37763-2209
Country : US
Telephone Number : 865-809-9452
Fax Number :
Provider Business Practice Location Address
First Line : 408 LAKEWOOD RD
Second Line :
City : KINGSTON
State : TN
Zip : 37763-2209
Country : US
Telephone Number : 865-809-9452
Fax Number :
Authorized Official
Title or Position : MANAGING MEMBER
Name : LADONNA RAYMOND
Credential : MS SLP-CCC
Telephone Number : 865-809-9452
Provider Enumeration Date : 08/06/2025
Last Update Date : 08/06/2025

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Directions to “EMPATHIA THERAPY AND WELLNESS LLC ” Practice Location

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