Marie Anne Kamrath, PT, DPT

Individual provider Active NPI Physical Therapist · East Ridge, TN

NPI 1942855432 · NPPES record last updated Sep 9, 2019

Key facts

NPI
1942855432
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
12593 (TN)
Practice address
1467 N Mack Smith Rd
East Ridge, TN 37412-3947
Phone
(423) 894-4403
Fax
(423) 894-4513
NPI assigned
Aug 2, 2019
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)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 12593 TN Yes
Physical Therapist 225100000X PT014205 GA

Addresses

Primary practice location

1467 N Mack Smith Rd
East Ridge, TN 37412-3947

Mailing address

1200 Corporate Dr Ste 400
Birmingham, AL 35242-5424
Phone (423) 238-7217

Other practice location 1

1508 N Thornton Ave Ste 106
Dalton, GA 30720-8516
Phone (706) 226-0816

Other providers in East Ridge, TN

All providers in East Ridge, TN · Physical Therapist in Tennessee

Sources for this page

Verify at the official NPI Registry.