Caleb Hugh Capshaw
Individual provider Active NPI Physical Therapy Assistant · Pulaski, TN
NPI 1235685348 · NPPES record last updated Aug 29, 2016
Key facts
- NPI
- 1235685348
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 6309 (TN)
- Practice address
- 203 Village SQ
Pulaski, TN 38478-2929 - Phone
- (931) 424-5588
- Fax
- (931) 424-5590
- NPI assigned
- Aug 29, 2016
- Sex
- Male
- 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 |
|---|---|---|---|
| 6309 | TN | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 6309 | TN | Yes |
Addresses
Primary practice location
203 Village SQ
Pulaski, TN 38478-2929
Mailing address
8823 Production LN
Ooltewah, TN 37363-6511
Phone (423) 238-7217
Other providers in Pulaski, TN
- Sara Beth Bush
- Amy Caroline Calahan
- Jo Ann Campbell
- Melanie M. Campbell
- Elizabeth Mae Caperton III
- Amy Carr
- Lauren Ashley Carter
- Patricia Joy Catlin
- Taylor W Chapman
- Chris Reece, DDS, PLLC
All providers in Pulaski, 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 29, 2016. 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.