Doctor Name: | MISS SARA ANN ROGERS |
NPI Number: | 1194022764 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PTA |
License Number: | 4860 |
Business Practice Address: | 175 Hospital Dr Mc Kenzie, TN - 382011636 |
Business Phone Number: | 7313523908 |
Business Fax Number: | |
Mailing Address: | 1305 Rogers Rd, SCOTTS HILL |
State: | TN |
Postal Code: | 383745071 |
Phone Number: | 7319671360 |
Fax Number: | |
NPI Enumeration Date: | 02/17/2011 |
NPI Last Update Date: | 02/17/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251G0304X |
License Number: | 4860 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Geriatrics |
Taxonomy Definition: |