Cessaley Leanne Davis
Individual provider Active NPI Physical Therapy Assistant · Waynesboro, TN
NPI 1487135083 · NPPES record last updated Aug 22, 2018
Key facts
- NPI
- 1487135083
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 5401 (TN)
- Practice address
- 104 JV Mangubat Dr
Waynesboro, TN 38485-2439 - Phone
- (931) 722-3641
- NPI assigned
- Aug 22, 2018
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 5401 | TN | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 5401 | TN | Yes |
Addresses
Primary practice location
104 JV Mangubat Dr
Waynesboro, TN 38485-2439
Mailing address
1302 Tie Camp Rd
Waynesboro, TN 38485-2860
Other providers in Waynesboro, TN
- Brian Paul Coggins
- Paula A Cole
- Hillary J Cope
- Matthew Cunningham
- Kodi Daniels
- Rachel Diane Davis
- Jacqueline Deiley
- Wes Yeiser Donaldson
- Laura Downard
- Dr Jay M Chapman Vision Center
All providers in Waynesboro, 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 22, 2018. 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.