Individual
DR. KAYLIN ELIZABETH MILEY WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
51 PATEL WAY, CLARKSVILLE, TN 37043-4105
(931) 245-1000
Mailing address
51 PATEL WAY, CLARKSVILLE, TN 37043-4105
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
5714
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5714
TENNESSEE STATE BOARD OF OCCUPATIONAL THERAPY
TN
Enumeration date
07/30/2021
Last updated
07/30/2021
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