Mary Cristine Bader
Individual provider Active NPI Physical Therapy Assistant · Cordova, TN
NPI 1023274339 · NPPES record last updated Aug 6, 2008
Key facts
- NPI
- 1023274339
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 2590 (TN)
- Practice address
- 955 N Germantown Pkwy
Cordova, TN 38018-6215 - Phone
- (901) 752-5998
- Fax
- (901) 751-9799
- NPI assigned
- Aug 6, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2590 | TN | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2590 | TN | Yes |
Addresses
Primary practice location
955 N Germantown Pkwy
Cordova, TN 38018-6215
Mailing address
955 N Germantown Pkwy
Cordova, TN 38018-6215
Phone (901) 752-5998
Other providers in Cordova, TN
- B C Johnson DDS PLLC
- B Der NMT Transportation LLC
- B'Nai B'Rith Home & Hospital for the Aged, Inc.
- Julie Bach
- Manaf Baddar
- Brianna D Bailey
- Matt Dane Baker
- Morgan Whitney Baker
- Jessica Ellen Balderson
- Robert Baldwin
All providers in Cordova, TN · Physical Therapy Assistant in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.