Christy Delk

Individual provider Active NPI Physical Therapy Assistant · Lafayette, TN

NPI 1245870906 · NPPES record last updated Jan 10, 2020

Key facts

NPI
1245870906
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
5011 (TN)
Practice address
420 College St Ste C
Lafayette, TN 37083-1751
Phone
(615) 666-4972
NPI assigned
Jan 10, 2020
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
5011TNMDGeneral Practice Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 5011 TN Yes

Addresses

Primary practice location

420 College St Ste C
Lafayette, TN 37083-1751

Mailing address

200 Pumpkin LN
Celina, TN 38551-6131

Other providers in Lafayette, TN

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

Sources for this page

Verify at the official NPI Registry.