Provider Demographics
NPI:1932619343
Name:MILLS, JAYME MICHELLE (OTD, OR/L, CBIS)
Entity Type:Individual
Prefix:
First Name:JAYME
Middle Name:MICHELLE
Last Name:MILLS
Suffix:
Gender:F
Credentials:OTD, OR/L, CBIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:362 CATALPA AVE
Mailing Address - Street 2:
Mailing Address - City:HARROGATE
Mailing Address - State:TN
Mailing Address - Zip Code:37752-8149
Mailing Address - Country:US
Mailing Address - Phone:423-869-9923
Mailing Address - Fax:
Practice Address - Street 1:362 CATALPA AVE
Practice Address - Street 2:
Practice Address - City:HARROGATE
Practice Address - State:TN
Practice Address - Zip Code:37752-8149
Practice Address - Country:US
Practice Address - Phone:423-869-9923
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-11
Last Update Date:2017-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist