Doctor Name: | BETHANY T SHIPP |
NPI Number: | 1306922448 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPT |
License Number: | 2305204807 |
Business Practice Address: | 1320 Old Weisgarber Rd Knoxville, TN - 379091291 |
Business Phone Number: | 8655841054 |
Business Fax Number: | 8655888350 |
Mailing Address: | Po Box 52268, KNOXVILLE |
State: | TN |
Postal Code: | 379502268 |
Phone Number: | 8655394575 |
Fax Number: | |
NPI Enumeration Date: | 10/31/2006 |
NPI Last Update Date: | 08/30/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2305204807 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
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 |