Provider Demographics
NPI:1134587827
Name:WHITE, KEELY NALL (MS, OTR/L, CTRS)
Entity type:Individual
Prefix:MRS
First Name:KEELY
Middle Name:NALL
Last Name:WHITE
Suffix:
Gender:F
Credentials:MS, OTR/L, CTRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2030 TURNING WHEEL LANE
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-4630
Mailing Address - Country:US
Mailing Address - Phone:615-438-2558
Mailing Address - Fax:
Practice Address - Street 1:1880 GENERAL GEORGE PATTON DR
Practice Address - Street 2:SUITE 202B
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-6409
Practice Address - Country:US
Practice Address - Phone:615-377-1624
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-09
Last Update Date:2019-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5369225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist