Individual
KELLI DENISE MINGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
117 ELIZABETHTON WAY, CLINTON, TN 37716-4032
(865) 314-0005
(865) 332-1900
Mailing address
117 ELIZABETHTON WAY, CLINTON, TN 37716-4032
(865) 314-0005
(865) 332-1900
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2110
TN
Other
Enumeration date
04/16/2026
Last updated
04/16/2026
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