Individual
DR. SUSIE WEATHERALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2300 PAVILION DR, KINGSPORT, TN 37660-4622
(423) 765-9655
Mailing address
2300 PAVILION DR, KINGSPORT, TN 37660-4622
(423) 765-9655
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2702
TN
Other
Enumeration date
08/12/2025
Last updated
08/12/2025
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