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

Individual provider Occupational Therapy Assistant · NPI 1730536277

Elijah Owens is an Occupational Therapy Assistant in Kingsport, Tennessee. Practices as a sole proprietor. Licensed in Tennessee and Virginia.

Licensed in
TN, VA
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

2300 Pavilion Dr
Kingsport, TN 37660-4622
Phone: (423) 765-9655
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 2289 (TN)
Occupational Therapy Assistant Taxonomy 224Z00000X · Licence 0131000956 (VA)

Record details

NPI number1730536277
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 14, 2016
Last updated in NPPESMay 14, 2016
Mailing address247 Willis Hide A Way, Haysi, VA 24256-6361

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