| Doctor Name: | TIMOTHY EVERETT |
| NPI Number: | 1174882542 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT, DPT |
| License Number: | PT27234 |
| Business Practice Address: | 15 Jane Jacobs Rd Suite 202 Black Mountain, NC - 287116306 |
| Business Phone Number: | 8286698643 |
| Business Fax Number: | 8286698648 |
| Mailing Address: | 142 La Mancha Dr Apt B, ASHEVILLE |
| State: | NC |
| Postal Code: | 288052195 |
| Phone Number: | 3375810124 |
| Fax Number: | |
| NPI Enumeration Date: | 05/04/2012 |
| NPI Last Update Date: | 11/15/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | PT27234 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |