Zelda Cheesman Croteau

Individual provider Active NPI Physical Therapist · Pleasant Hill, TN

NPI 1710550801 · NPPES record last updated Jul 19, 2021

Key facts

NPI
1710550801
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PT4166 (TN)
Practice address
55 W Lake Rd
Pleasant Hill, TN 38578-3002
Phone
(931) 277-3425
NPI assigned
Jul 19, 2021
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

LicenseStateTypeSpecialty
PT4166TNMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT4166 TN Yes

Addresses

Primary practice location

55 W Lake Rd
Pleasant Hill, TN 38578-3002

Mailing address

55 W Lake Rd
Pleasant Hill, TN 38578-3002
Phone (931) 277-3425

Other providers in Pleasant Hill, TN

All providers in Pleasant Hill, TN · Physical Therapist in Tennessee

Sources for this page

Verify at the official NPI Registry.