Rachel Crabtree, PTA

Individual provider Active NPI Physical Therapy Assistant · South Fulton, TN

NPI 1962840637 · NPPES record last updated Jun 4, 2013

Key facts

NPI
1962840637
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
4487 (TN)
Practice address
3851 Chestnut Glade Rd
South Fulton, TN 38257-8905
Phone
(731) 223-9223
NPI assigned
Jun 4, 2013
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
4487TNMDPhysician Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 4487 TN Yes

Addresses

Primary practice location

3851 Chestnut Glade Rd
South Fulton, TN 38257-8905

Mailing address

3851 Chestnut Glade Rd
South Fulton, TN 38257-8905
Phone (731) 223-9223

Other providers in South Fulton, TN

All providers in South Fulton, TN · Physical Therapy Assistant in Tennessee

Sources for this page

Verify at the official NPI Registry.