Individual
BARTON BLAZER SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
210 BUSBEE RD, KNOXVILLE, TN 37920-5104
(865) 621-0381
Mailing address
210 BUSBEE RD, KNOXVILLE, TN 37920-5104
(865) 621-0381
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1036
TN
314000000X
Skilled Nursing Facility
OTA 2139
CA
Other
Enumeration date
08/11/2016
Last updated
08/11/2016
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