KELSEY STOUT

KINGSPORT, TN
NPI1427590322
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: TN  2785)
Additional Taxonomies224Z00000X Occupational Therapy Assistant
(Licence: VA  0131001653)
Enumeration Date2016-11-08
Last Update Date2016-11-08
Business Address
-- KELSEY STOUT COTA/L
2300 PAVILION DR
KINGSPORT, TN 37660-4622
Phone number: 423-765-9655
Mailing Address
-- KELSEY STOUT COTA/L
6546 BOWMAN RD
POUND, VA 24279-2843
Phone number: 276-219-2307