Tera Chea Denton, PTA

Individual provider Active NPI Physical Therapy Assistant · Dunlap, TN

NPI 1063254571 · NPPES record last updated Jun 7, 2024

Key facts

NPI
1063254571
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
6577 (TN)
Practice address
360 Dell TRL
Dunlap, TN 37327-5511
Phone
(423) 949-4651
NPI assigned
Jun 7, 2024
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

LicenseStateTypeSpecialty
6577TNMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 6577 TN Yes

Addresses

Primary practice location

360 Dell TRL
Dunlap, TN 37327-5511

Mailing address

195 Poppy LN
Dunlap, TN 37327-1758
Phone (423) 693-5088

Other providers in Dunlap, TN

All providers in Dunlap, TN · Physical Therapy Assistant in Tennessee

Sources for this page

Verify at the official NPI Registry.