Organization Name: | PHYSICAL THERAPY OF TELLICO, LLC |
NPI Number: | 1689614075 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NICOLE MARIE CRESSWELL (OWNER) |
Mailing Address: | 8805 New Highway 68 Unit 1 Tellico Plains |
State: | TN US |
Postal Code: | 373855347 |
Phone Number: | 4232536522 |
Fax Number: | 4232533664 |
NPI Enumeration Date: | 06/07/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT0000004777 |
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 |