SearchTennesseeOccupational Therapy Assistant

Shane Prater, COTA

NPI 1689013955 · on the registry since 2013 · sole proprietor

Practice

Address
136 Davis Ln
La Follette, TN 37766
Phone
(423) 562-4760
Organisation at this address
136 Davis Lane Opco, Llc
Genesis Eldercare Physician Services Llc
Visavis Health Care Medical Group Of Tn Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
38

Registry record

Primary taxonomy
Occupational Therapy Assistant
224Z00000X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-06-20

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