Individual
KACI TAYLOR SCUDDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
815 S WALNUT AVE, COOKEVILLE, TN 38501-5956
(931) 525-5516
Mailing address
3 ELMWOOD BLVD, CARTHAGE, TN 37030-2024
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3268
TN
Other
Enumeration date
07/22/2019
Last updated
07/22/2019
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