| Doctor Name: | MR. TIMOTHY J. HAWK |
| NPI Number: | 1053307751 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RPT |
| License Number: | PT0000001848 |
| Business Practice Address: | 482 Park Blvd Suite 2 Rogersville, TN - 378576927 |
| Business Phone Number: | 4239218088 |
| Business Fax Number: | 4239210046 |
| Mailing Address: | 482 Park Blvd, Suite 2 ROGERSVILLE |
| State: | TN |
| Postal Code: | 378576927 |
| Phone Number: | 4239218088 |
| Fax Number: | 4239210046 |
| NPI Enumeration Date: | 09/27/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | 03/25/2006 |
| NPI Reactivation Date: | 04/05/2006 |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT0000001848 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |