Organization · Type 2 NPI
Wild Roots Ot LLC
Clinic/Center · Walland, TN
NPI number
1932092178
Active
Practice location
1057 Old Oliver Rd
Walland, TN 37886-2338
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
About NPI 1932092178
Wild Roots Ot LLC's National Provider Identifier is 1932092178, issued on May 29, 2025. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Walland, TN. The record was last updated on May 29, 2025.