Chris Haney
Individual provider Active NPI Physical Therapy Assistant · Cleveland, TN
NPI 1902960412 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1902960412
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 2504 (TN)
- Practice address
- 2700 Westside Dr NW
Suite 103
Cleveland, TN 37312-3699 - Phone
- (423) 614-0097
- NPI assigned
- Dec 20, 2006
- Sex
- Male
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2504 | TN | MD | Optometrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2504 | TN | Yes |
Addresses
Primary practice location
2700 Westside Dr NW
Suite 103
Cleveland, TN 37312-3699
Mailing address
2700 Westside Dr NW
Suite 103
Cleveland, TN 37312-3699
Phone (423) 614-0097
Other providers in Cleveland, TN
- Marissa Jobeth Hamilton
- William N Hammond
- Benjamin Seth Hammonds
- Jenni Hampton
- Alana Michelle Haney
- Rhonda K Hanley
- James Fancis Hannifin
- Emma Harbison
- Paula Harbison
- Lucius Lidelle Hare
All providers in Cleveland, TN · Physical Therapy Assistant 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.