Individual provider · Type 1 NPI
Marie Ellen Abdu, COTA/L
Massage Therapist · Lenoir City, TN
NPI number
1689771230
Active
Practice location
601 W Broadway St
Lenoir City, TN 37771-2702
Fax (865) 816-6047
Mailing address
511 W Broadway St
Lenoir City, TN 37771-2806
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OTA0000000587 (TN) |
| Massage Therapist Primary | 225700000X | 0000013128 (TN) |
Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
2 other providers at this address
About NPI 1689771230
Marie Ellen Abdu, COTA/L's National Provider Identifier is 1689771230, issued on Sep 17, 2006. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lenoir City, TN. The record was last updated on Oct 5, 2020.