Doctor Name: | MS. ANJANETTE RAYNATA WYNN |
NPI Number: | 1245659796 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | PT0000001629 |
Business Practice Address: | 112 Jordan Dr Chattanooga, TN - 374216802 |
Business Phone Number: | 4234684060 |
Business Fax Number: | 4234684069 |
Mailing Address: | 6601 Green Rd, CHATTANOOGA |
State: | TN |
Postal Code: | 374213657 |
Phone Number: | 4235036865 |
Fax Number: | |
NPI Enumeration Date: | 04/14/2014 |
NPI Last Update Date: | 04/14/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT0000001629 |
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 |