David Buchanan, PTA
Individual provider Active NPI Physical Therapy Assistant · Sparta, TN
NPI 1932645751 · NPPES record last updated Jan 18, 2017
Key facts
- NPI
- 1932645751
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 2731 (TN)
- Practice address
- 34 Gracey St
Sparta, TN 38583-2046 - Phone
- (913) 836-2211
- NPI assigned
- Jan 18, 2017
- 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 |
|---|---|---|---|
| 2731 | TN | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2731 | TN | Yes |
Addresses
Primary practice location
34 Gracey St
Sparta, TN 38583-2046
Mailing address
247 Collins River Dr
Rock Island, TN 38581-3685
Phone (615) 766-7067
Other providers in Sparta, TN
- Bridgeway Counseling
- Amanda Lassie-Rose Brooks
- Stephanie Jane Brown
- Whitney Broyles
- Todd Brummet
- Stefanie Kinnaird Byd
- Brittany Caleb- Taylor
- Campbell Clinic PC
- Brooklyn Victoria Cantrell
- Ginny Caudle
All providers in Sparta, 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 Jan 18, 2017. 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.