Individual
MRS. KASEY CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT, OTR/L
Contact information
Practice address
100 RIVER RD, LOUDON, TN 37774-1042
(502) 633-1007
Mailing address
90 HOWARD DR, SHELBYVILLE, KY 40065-8138
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5387
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q026112
—
TN
Enumeration date
03/13/2016
Last updated
07/28/2022
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