SearchTennessee224Z00000X

Jason Pack, COTA

NPI 1396382610 · on the registry since 2019

Practice

Address
9022 Richfield Ln
Knoxville, TN 37924
Phone
(865) 279-6718
Fax
(855) 232-8604

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-02-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee