Individual
RAEGAN WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
407 LAURA LEE DR, WHITE PINE, TN 37890-3500
(865) 327-4100
Mailing address
3334 FRANK MORIE RD, WHITE PINE, TN 37890-4504
(865) 839-0623
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4297
TN
Other
Enumeration date
03/02/2026
Last updated
03/02/2026
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