Rebecca Lynn Tudor, PTA
Individual provider Active NPI Physical Therapy Assistant · Nashville, IN
NPI 1477976157 · NPPES record last updated Jan 30, 2014
Key facts
- NPI
- 1477976157
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 06004753A (IN)
- Practice address
- 55 Willow St
Nashville, IN 47448-7013 - Phone
- (812) 988-6666
- NPI assigned
- Jan 30, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 06004753A | IN | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 06004753A | IN | Yes |
Addresses
Primary practice location
55 Willow St
Nashville, IN 47448-7013
Mailing address
118 Medical Dr
Carmel, IN 46032-2923
Phone (317) 573-1037
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All providers in Nashville, IN · Physical Therapy Assistant in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2014. 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.