Provider Demographics
NPI:1033999636
Name:FIEGLE, JAMES CLAYTON JR (OT/L)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:CLAYTON
Last Name:FIEGLE
Suffix:JR
Gender:M
Credentials:OT/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:258 CRUZE RD
Mailing Address - Street 2:
Mailing Address - City:POWELL
Mailing Address - State:TN
Mailing Address - Zip Code:37849-7703
Mailing Address - Country:US
Mailing Address - Phone:865-604-8109
Mailing Address - Fax:
Practice Address - Street 1:7512 MIDDLEBROOK PIKE
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37909-2349
Practice Address - Country:US
Practice Address - Phone:865-604-8109
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-02
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2464225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist