Individual
SAMUEL TATE RUTHERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTD, OTR/L
Contact information
Practice address
8041 GOLD BELL ST, POWELL, TN 37849-5069
(423) 258-8585
Mailing address
8041 GOLD BELL ST, POWELL, TN 37849-5069
(423) 258-8585
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7776
TN
Other
Enumeration date
06/27/2025
Last updated
06/27/2025
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