IndividualActive
Anita Tisdale, O.T.
NPI 1386607083 · Occupational Therapist · Powell, TN
Provider details
- NPI number
- 1386607083
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- O.T.
- Sex
- Female
- License
- 2173 (TN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
7557 Dannaher Ln
Suite G30
Powell, TN 37849-3558
Phone: (865) 512-1140
Fax: (865) 512-1141
Approximate (ZIP-level) locationGet directions
Mailing address
260 Fort Sanders West Blvd
Knoxville, TN 37922-3355
Registry dates
- Enumerated
- 2006-04-11
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.