Provider Demographics
NPI:1346797107
Name:YEARY, NATASHA REED (OTR/L)
Entity Type:Individual
Prefix:
First Name:NATASHA
Middle Name:REED
Last Name:YEARY
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2435 JACKSBORO PIKE
Mailing Address - Street 2:
Mailing Address - City:LA FOLLETTE
Mailing Address - State:TN
Mailing Address - Zip Code:37766-2908
Mailing Address - Country:US
Mailing Address - Phone:423-566-8283
Mailing Address - Fax:423-563-5873
Practice Address - Street 1:2435 JACKSBORO PIKE
Practice Address - Street 2:
Practice Address - City:LA FOLLETTE
Practice Address - State:TN
Practice Address - Zip Code:37766-2908
Practice Address - Country:US
Practice Address - Phone:423-566-8283
Practice Address - Fax:423-563-5873
Is Sole Proprietor?:No
Enumeration Date:2016-09-08
Last Update Date:2016-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist