Individual
KELSEY GARVERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2276 CANDIES LN NW, CLEVELAND, TN 37312-2619
(423) 328-8745
Mailing address
2276 CANDIES LN NW, CLEVELAND, TN 37312-2619
(706) 271-0100
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7346
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7346
TN LICENSE
TN
Enumeration date
07/29/2022
Last updated
07/29/2022
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