Tracy R Shrader in Ethridge - Physical Therapy Assistant

Tracy R Shrader - NPI 1902944473

Tracy R Shrader is a Physical Therapy Assistant in Ethridge, Tennessee. Tracy R Shrader practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Tracy R Shrader is 1902944473. The last update date is 2007-07-08.

Tracy R Shrader's current location address is 3803 Rhea Branch Rd, Ethridge, Tennessee. You can contact this provider via phone number 9314241867. The mailing address for Tracy R Shrader is 3803 Rhea Branch Rd, Ethridge, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Tracy R Shrader
Address 3803 Rhea Branch Rd, Ethridge, Tennessee
Phone Number 9314241867
Fax Number
Sole Proprietor N
Credentials PTA

NPI Number Detail

NPI Number 1902944473
Provider Enumeration Date 2007-02-04
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3803 Rhea Branch Rd
City Ethridge
State Tennessee (TN)
Post Code 384567080
Phone Number 9314241867
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physical Therapy Assistant
Taxonomy 225200000X
Licence No 2616
Definition:
(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Post

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FAQs about Tracy R Shrader

What is the unique 10-digit identification code assigned to Tracy R Shrader by the Centers for Medicare & Medicaid Services?

The Tracy R Shrader has been issued the NPI (National Provider Identifier) 1902944473, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Tracy R Shrader's facilities are situated?

The facilities of Tracy R Shrader are physically located at the following address: 3803 Rhea Branch Rd, Ethridge, TN, 384567080.

What is Tracy R Shrader's specialized field of practice, and what is the corresponding taxonomy classification code?

The Tracy R Shrader's area of specialization is Physical Therapy Assistant, and the corresponding taxonomy code that categorizes this field of practice is 225200000X.

On what date did Tracy R Shrader receive its 1902944473 assignment from the Centers for Medicare & Medicaid Services?

The Tracy R Shrader was assigned its 1902944473 on 2007-02-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the Tracy R Shrader's information last updated?

The Tracy R Shrader's information was last updated on 2007-07-08.

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