Kristi Dawn Mason Davenport in Manchester - Physical Therapy Assistant

Kristi Dawn Mason Davenport - NPI 1962571554

Kristi Dawn Mason Davenport is a Physical Therapy Assistant in Manchester, Tennessee. Kristi Dawn Mason Davenport practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Kristi Dawn Mason Davenport is 1962571554. The last update date is 2009-01-26.

Kristi Dawn Mason Davenport's current location address is 585 Interstate Dr, Manchester, Tennessee. You can contact this provider via phone number 9317237159. The mailing address for Kristi Dawn Mason Davenport is 585 Interstate Dr, Manchester, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Kristi Dawn Mason Davenport
Address 585 Interstate Dr, Manchester, Tennessee
Phone Number 9317237159
Fax Number
Sole Proprietor N
Credentials PTA

NPI Number Detail

NPI Number 1962571554
Provider Enumeration Date 2006-11-07
Last Updated Date 2009-01-26

Provider Mailing Address Detail

Address 585 Interstate Dr
City Manchester
State Tennessee (TN)
Post Code 373553190
Phone Number 9317237159
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physical Therapy Assistant
Taxonomy 225200000X
Licence No 3883
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 Kristi Dawn Mason Davenport

What is the unique identifier code issued to Kristi Dawn Mason Davenport by the Centers for Medicare & Medicaid Services (CMS)?

The Kristi Dawn Mason Davenport has been assigned the NPI (National Provider Identifier) 1962571554. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete physical location address of Kristi Dawn Mason Davenport?

The Kristi Dawn Mason Davenport is physically situated at 585 Interstate Dr, in the city of Manchester, state of TN, with the postal code 373553190.

What is Kristi Dawn Mason Davenport's area of expertise and its corresponding taxonomy classification?

The Kristi Dawn Mason Davenport's field of specialization is Physical Therapy Assistant, and it falls under the taxonomy code 225200000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1962571554 to Kristi Dawn Mason Davenport?

The Centers for Medicare & Medicaid Services originally issued the 1962571554 to Kristi Dawn Mason Davenport on 2006-11-07.

As of what date was the information regarding Kristi Dawn Mason Davenport, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Kristi Dawn Mason Davenport, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-01-26.

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