Individual
HALEY KEYLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1660 CENTRAL AVE, ELIZABETHTON, TN 37643-4850
(423) 647-2346
Mailing address
1660 CENTRAL AVE, ELIZABETHTON, TN 37643-4850
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0007845
CO
225X00000X
Occupational Therapist
14391
NC
225X00000X
Occupational Therapist
Primary
7035
TN
Other
Enumeration date
09/09/2021
Last updated
05/23/2023
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