IndividualActive
Kellie Tatum, OTR/L
NPI 1609174614 · Occupational Therapist · Stuart, VA
Provider details
- NPI number
- 1609174614
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
- License
- 0119005287 (VA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
227 Landmark Drive
Stuart, VA 24171
Phone: (276) 694-0124
Fax: (276) 694-0125
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1416
Stuart, VA 24171-1416
Registry dates
- Enumerated
- 2011-03-01
- Last updated
- 2011-07-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.