Ann Bolton
Individual provider Active NPI Physical Therapist · Dunlap, TN
NPI 1750136487 · NPPES record last updated Apr 17, 2024
Key facts
- NPI
- 1750136487
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 9797 (TN)
- Practice address
- 360 Dell TRL
Dunlap, TN 37327-5511 - Phone
- (423) 949-4651
- NPI assigned
- Apr 17, 2024
- 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 |
|---|---|---|---|
| 9797 | TN | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 9797 | TN | Yes |
Addresses
Primary practice location
360 Dell TRL
Dunlap, TN 37327-5511
Mailing address
360 Dell TRL
Dunlap, TN 37327-5511
Other providers in Dunlap, TN
- Ashlee Anderson
- Jennifer Morrison Ashby
- Mary E Baldwin
- Frances Maureen Barker
- Lisa Blackmer
- Charles E Boyer
- Donald Francis Brennan
- Lisa Ann Brown
- Tanner Bryant
- Brett Aaron Cagle
All providers in Dunlap, 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 Apr 17, 2024. 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.