Individual provider · Type 1 NPI

Raegan Willis, COTA

Occupational Therapy Assistant · White Pine, TN

NPI number 1669327953 Active

Practice location

407 Laura Lee Dr
White Pine, TN 37890-3500

Mailing address

3334 Frank Morie Rd
White Pine, TN 37890-4504

Other practice locations

  • 914 Industrial Park Rd, Dandridge, TN 37725-4700 · (865) 397-3163

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X4297 (TN)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

3 other providers at this address

About NPI 1669327953

Raegan Willis, COTA's National Provider Identifier is 1669327953, issued on Mar 2, 2026. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in White Pine, TN. The record was last updated on Mar 2, 2026.