Doctor Name: | MR. KENNETH CHRISTOPHER MASSEY |
NPI Number: | 1154593804 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | OTR/L, CHT |
License Number: | 1870 |
Business Practice Address: | 2051b Hamill Rd Hixson, TN - 373434085 |
Business Phone Number: | 4236242696 |
Business Fax Number: | |
Mailing Address: | 2415 Mccallie Ave, CHATTANOOGA |
State: | TN |
Postal Code: | 374043322 |
Phone Number: | 4236242696 |
Fax Number: | |
NPI Enumeration Date: | 04/01/2008 |
NPI Last Update Date: | 04/01/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225XH1200X |
License Number: | 1870 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Occupational Therapist |
Taxonomy Specialization: | Hand |
Taxonomy Definition: |