Doctor Name: | MRS. CAROLINE M BOLTON |
NPI Number: | 1104949353 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHYSICAL THERAPIST |
License Number: | PT0000004486 |
Business Practice Address: | 569 Skyline Dr Suite 100 Jackson, TN - 383013911 |
Business Phone Number: | 7314277888 |
Business Fax Number: | 7312654152 |
Mailing Address: | 569 Skyline Dr, Suite 100 JACKSON |
State: | TN |
Postal Code: | 383013911 |
Phone Number: | 7314277888 |
Fax Number: | 7312654152 |
NPI Enumeration Date: | 04/10/2007 |
NPI Last Update Date: | 05/27/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT0000004486 |
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 |