Individual
TAMYRA LYNN KADOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,OTRL,CHT
Contact information
Practice address
1422 OLD WEISGARBER RD, KNOXVILLE, TN 37909-1293
(865) 558-4480
(865) 558-4481
Mailing address
1422 OLD WEISGARBER RD, KNOXVILLE, TN 37909-1293
(865) 558-4480
(865) 558-4481
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3080
TN
225XH1200X
Hand Occupational Therapist
0000003080
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1523185
—
TN
01
—
4317886
BLUECROSS BLUESHEILD
TN
01
—
4869322
CIGNA
TN
01
—
P01085924
RAILROAD MEDICARE
—
Enumeration date
05/01/2007
Last updated
08/04/2017
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