Individual
KAYCE STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
34 GARLAND DR, JACKSON, TN 38305-3654
(731) 664-3670
(731) 664-2941
Mailing address
110 DEMOSS CREEK ACCESS RD, ATWOOD, TN 38220-4627
(731) 415-3543
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3878
TN
Other
Enumeration date
09/29/2022
Last updated
09/29/2022
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