Individual
KELSEY LYNN EAKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1406 WINTER DR, LEBANON, TN 37087-2530
(615) 444-4343
Mailing address
200 MAYS CHAPEL RD, MOUNT JULIET, TN 37122-6838
(615) 517-8654
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2932
TN
Other
Enumeration date
08/04/2021
Last updated
08/04/2021
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