JIMMMYE DALE GREEN OTR/LCEAS NPI 1144794348

NPI Information

NPI: 1144794348
Provider Name: JIMMMYE DALE GREEN, OTR/L,CEAS
Classification: Occupational Therapist - 225XE1200X
Entity Type: Individual

Specialization: Ergonomics

Address:
2648 SEVIERVILLE RD
MARYVILLE, TN
ZIP 37804
Phone: (865) 984-1660
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Jimmmye Dale Green, OTR/L,CEAS is an ergonomics occupational therapist in Maryville, TN. Jimmmye Dale Green, OTR/L,CEAS NPI is 1144794348. The provider is registered as an individual entity type and is a multiple single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2648 SEVIERVILLE RD
MARYVILLE, TN
ZIP 37804-643
Phone: (865) 984-1660

The enumeration date for this NPI number is 1/22/2019 and was last updated on 1/22/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225XE1200X	Occupational Therapist	Ergonomics	0000003798	TENNESSEE	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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