Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wild Roots OT LLC

Organization Clinic/Center · NPI 1932092178

Wild Roots OT LLC is a Clinic/Center in Walland, Tennessee. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1057 Old Oliver Rd
Walland, TN 37886-2338
Phone: (865) 268-9270
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1932092178
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicole Seravello — Owner · (239) 222-9911
NPI enumeratedMay 29, 2025
Last updated in NPPESMay 29, 2025
Certification dateMay 28, 2025
Mailing address1057 Old Oliver Rd, Walland, TN 37886-2338