Individual
AMANDA L KAKISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10133 SHERRILL BLVD STE 200, KNOXVILLE, TN 37932-3347
(886) 539-2284
Mailing address
13137 S ANNANDAL DR., JAX, FL 32225
(904) 885-3969
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
11/16/2023
Last updated
11/16/2023
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