# KASSIE TANNEHILL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1003687583
- **Gender:** F
- **Credential:** LOTR

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174N00000X | Lactation Consultant (Non-RN) | — | NULL | — |
| 225X00000X | Occupational Therapist | 340116 | LA | Yes |

## Other

- **Enumeration date:** 01/12/2024
- **Last updated:** 03/06/2026