Angela Sue McManaway, PTA

Individual provider Active NPI Physical Therapy Assistant · Mt Pleasant, TN

NPI 1609425677 · NPPES record last updated Sep 11, 2019

Key facts

NPI
1609425677
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
6946 (TN)
Practice address
904 Hidden Acres Ave
Mt Pleasant, TN 38474-1039
Phone
(931) 379-5502
NPI assigned
Sep 11, 2019
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
6946TNMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 6946 TN Yes

Addresses

Primary practice location

904 Hidden Acres Ave
Mt Pleasant, TN 38474-1039

Mailing address

805 Presley Cir
Mt Pleasant, TN 38474-2950
Phone (614) 989-7511

Other providers in Mt Pleasant, TN

All providers in Mt Pleasant, TN · Physical Therapy Assistant in Tennessee

Sources for this page

Verify at the official NPI Registry.