Individual
ALEXIS MOGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1822 KELTON LN, MARYVILLE, TN 37803-6250
(865) 304-7236
Mailing address
1822 KELTON LN, MARYVILLE, TN 37803-6250
(865) 304-7236
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
05/07/2026
Last updated
05/07/2026
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