Individual provider · Type 1 NPI

Tammy N. Wagner, OTR/L

Occupational Therapist · Mountain Home, TN

NPI number 1902861933 Active

Practice location

Pmrs 117
Mountain Home, TN 37684

Mailing address

121 Lazy Ln
Gray, TN 37615-4272

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X2768 (TN)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1902861933

Tammy N. Wagner, OTR/L's National Provider Identifier is 1902861933, issued on Apr 20, 2006. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Mountain Home, TN. The record was last updated on Jul 13, 2026.