Doctor Name: | MRS. NICOLE MARIE CRESSWELL |
NPI Number: | 1922048347 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSPT |
License Number: | PT0000004777 |
Business Practice Address: | 4249 Highway 411 Ste 4 Madisonville, TN - 373541544 |
Business Phone Number: | 4234360309 |
Business Fax Number: | 4234360310 |
Mailing Address: | 8823 Production Ln, OOLTEWAH |
State: | TN |
Postal Code: | 373636511 |
Phone Number: | 4232388930 |
Fax Number: | 4232856647 |
NPI Enumeration Date: | 06/07/2006 |
NPI Last Update Date: | 09/03/2015 |
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 |