Most Relevant Information
Provider Data
| NPI Number: | 1003807694 |
| Provider Name: | KYLE THOMAS EMERSON OT |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | OT2688 |
Most Important Dates
| Enumeration Date: | 11/02/2005 |
| Last Updated: | 01/21/2010 |
Provider Practice Location
301 21ST AVE N
NASHVILLE
TN
372031821
Practice Location Phone/Fax
| Phone: | 6153296600 |
| Fax: |
Provider Mailing Location
PO BOX 105132
ATLANTA
GA
303485132
Provider Mailing Phone/Fax
| Phone: | 6153292294 |
| Fax: |