Karol L Disher, LMT
Individual provider Active NPI Mechanotherapist · Lexington, TN
NPI 1972876597 · NPPES record last updated Feb 13, 2012
Key facts
- NPI
- 1972876597
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mechanotherapist 172M00000X
- License
- MT 0000006204 (TN)
- Practice address
- 459 N Main St
Lexington, TN 38351-1431 - Phone
- (731) 968-9206
- NPI assigned
- Feb 13, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| MA47493 | FL | MD | Massage Therapist |
| MT 0000006204 | TN | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | MA47493 | FL | |
| Mechanotherapist | 172M00000X | MT 0000006204 | TN | Yes |
| Massage Therapist | 225700000X | MA47493 | FL | |
| Massage Therapist | 225700000X | MT 0000006204 | TN |
Addresses
Primary practice location
459 N Main St
Lexington, TN 38351-1431
Mailing address
335 Eastern Shores Dr
Lexington, TN 38351-1215
Phone (731) 968-9206
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All providers in Lexington, TN · Mechanotherapist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2012. 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.