Teri Whitt Bock, PTA

Individual provider Active NPI Physical Therapy Assistant · Parsons, TN

NPI 1114359122 · NPPES record last updated Jul 31, 2013

Key facts

NPI
1114359122
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
5522 (TN)
Practice address
52 W 8TH St
Parsons, TN 38363-4656
Phone
(731) 847-6343
NPI assigned
Jul 31, 2013
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 5522 TN Yes

Addresses

Primary practice location

52 W 8TH St
Parsons, TN 38363-4656

Mailing address

4100 Highway 77
Newbern, TN 38059-6320
Phone (731) 445-8670

Other providers in Parsons, TN

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

Sources for this page

Verify at the official NPI Registry.