Individual
MRS. KAYLA RENEA RUPPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA/L
Contact information
Practice address
116 CUMBERLAND STREET, WARTBURG, TN 37887
(423) 215-5858
Mailing address
906 ELLIS BINGHAM RD, OAKDALE, TN 37829-2816
(423) 215-5858
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0000001748
TN
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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