Teresa Annette McBrayer, LMT

Individual provider Active NPI Mechanotherapist · East Ridge, TN

NPI 1770812893 · NPPES record last updated Dec 19, 2009

Key facts

NPI
1770812893
Entity type
Individual (NPI type 1)
Primary specialty
Mechanotherapist 172M00000X
License
1984 (TN)
Practice address
4320 Ringgold Rd
East Ridge, TN 37412-2712
Phone
(423) 591-4568
NPI assigned
Dec 19, 2009
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
1984TNMDAthletic Trainer

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mechanotherapist 172M00000X 1984 TN Yes

Addresses

Primary practice location

4320 Ringgold Rd
East Ridge, TN 37412-2712

Mailing address

4320 Ringgold Rd
East Ridge, TN 37412-2712
Phone (423) 591-4568

Other providers in East Ridge, TN

All providers in East Ridge, TN · Mechanotherapist in Tennessee

Sources for this page

Verify at the official NPI Registry.