Summer Renee' Houchin, | |
629 Gallaher Rd, Kingston, TN 37763-4215 | |
(865) 376-3416 | |
(865) 376-3532 |
Full Name | Summer Renee' Houchin |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 629 Gallaher Rd, Kingston, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215592290 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225XP0019X | Occupational Therapist - Physical Rehabilitation | 5851 (Tennessee) | Secondary |
225X00000X | Occupational Therapist | 5851 (Tennessee) | Primary |
Provider Name | Michael Dunn Center |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1316076268 PECOS PAC ID: 3779759410 Enrollment ID: O20111230000548 |
Mailing Address | Practice Location Address |
---|---|
Summer Renee' Houchin, 1324 Lawnville Rd, Kingston, TN 37763-4728 Ph: (865) 376-3416 | Summer Renee' Houchin, 629 Gallaher Rd, Kingston, TN 37763-4215 Ph: (865) 376-3416 |
Mrs. Janel Danos Bell, OTR L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 187 Gallaher Rd, Kingston, TN 37763 Phone: 865-376-4620 Fax: 865-376-1759 | |
Rebecca Williams, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 187 Gallaher Rd, Kingston, TN 37763 Phone: 865-376-4620 | |
Mrs. Kimberly Alice Goldborough, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 187 Gallaher Rd, Kingston, TN 37763 Phone: 865-376-4620 Fax: 865-376-1759 | |
Rachel Dawn Mitchell, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 187 Gallaher Rd, Kingston, TN 37763 Phone: 865-376-4620 | |
Mrs. Jane Kittrell Bryant, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 187 Gallaher Rd, Kingston, TN 37763 Phone: 865-376-4620 Fax: 865-376-1759 | |
Nan L Woodbury, O.T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 187 Gallaher Rd, Kingston, TN 37763 Phone: 865-376-4620 Fax: 865-376-1759 |