Individual
THOMAS DAVID OTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
PO BOX 1256, NORRIS, TN 37828-1256
(865) 466-2074
Mailing address
PO BOX 1256, NORRIS, TN 37828-1256
(865) 466-2074
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
11663
TN
Other
Enumeration date
11/12/2025
Last updated
11/12/2025
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