Provider Demographics
NPI:1023137668
Name:TOWE, MICHELLE LYN (OCCUPATIONAL THERAPI)
Entity type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:LYN
Last Name:TOWE
Suffix:
Gender:F
Credentials:OCCUPATIONAL THERAPI
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:108 NORTH GOVERNORS CV
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075
Mailing Address - Country:US
Mailing Address - Phone:615-826-0825
Mailing Address - Fax:
Practice Address - Street 1:608 8TH AVE EAST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:TN
Practice Address - Zip Code:37172
Practice Address - Country:US
Practice Address - Phone:615-384-8453
Practice Address - Fax:615-384-9350
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN1126225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist