Kristi Lott Davidson, PT
Individual provider Active NPI Physical Therapist · Henderson, TN
NPI 1497775613 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1497775613
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 6676 (TN)
- Practice address
- 361 E Main St
Henderson, TN 38340-2401 - Phone
- (731) 989-2737
- Fax
- (731) 989-0116
- NPI assigned
- Jul 20, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6676 | TN | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Star Physical Therapy LP | Past | Accepting new patients | |
| Star Physical Therapy LP | Physical Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6676 | TN | Yes |
Addresses
Primary practice location
361 E Main St
Henderson, TN 38340-2401
Mailing address
PO Box 681478
Franklin, TN 37068-1478
Phone (866) 800-9147
Other providers in Henderson, TN
- Patricia G Crane-Bryson
- Mary Jean Crouthers
- Linda Nicole Crozier
- David a. Magee
- John Brandon Davidson
- Mark Dearth
- Heather B Denbow
- Dialysis Clinic Inc
- Bernhard Eric Dietz
- Laura Drieling
All providers in Henderson, TN · Physical Therapist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.