Katelyn Cantrell
Katelyn Cantrell is an Occupational Therapist in Private Practice in Charleston, Tennessee. Qualified in 2023, 3 years ago. Practices with Legacy Healthcare Services Inc, a 3,624-clinician group and accepts Medicare assignment. Licensed in Tennessee.
- Years since qualifying
- 3
- Licensed in
- TN
- In the registry since
- 2023
Practice location Address checks out
136 Newport St NW Apt BCharleston, TN 37310-6318
Phone: (423) 506-5379
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X · Licence 7845 (TN) |
|---|
Record details
| NPI number | 1104693092 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 11, 2023 |
| Last updated in NPPES | December 11, 2023 |
| Certification date | December 11, 2023 |
| Mailing address | 136 Newport St Nw Apt B, Charleston, TN 37310-6318 |
Medicare enrollment
| Medicare specialty | OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Group practice | Legacy Healthcare Services Inc — 3624 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |