Individual
MADISON MISENHEIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
263 E BROADWAY BLVD, JEFFERSON CITY, TN 37760-2810
(865) 375-0880
(423) 317-7773
Mailing address
325 W MORRIS BLVD STE B, MORRISTOWN, TN 37813-2237
(423) 375-8907
(423) 822-5514
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7416
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7416
LICENSE
TN
Enumeration date
09/13/2022
Last updated
01/07/2026
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