Whitney Farren Newberry

Individual provider Active NPI Physical Therapy Assistant · Celina, TN

NPI 1982176129 · NPPES record last updated Dec 28, 2018

Key facts

NPI
1982176129
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
4738 (TN)
Practice address
120 Pitcock LN
Celina, TN 38551-4058
Phone
(931) 243-3139
NPI assigned
Dec 28, 2018
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
4738TNMDRegistered Dietitian

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 4738 TN Yes

Addresses

Primary practice location

120 Pitcock LN
Celina, TN 38551-4058

Mailing address

1035 Willette Rd
Red Boiling Springs, TN 37150-3647
Phone (615) 699-3949

Other identifiers

IdentifierTypeStateIssuer
4738OtherTNTENNESSEE PHYSICAL THERAPIST ASSISTANT LICENSURE

Other providers in Celina, TN

All providers in Celina, TN · Physical Therapy Assistant in Tennessee

Sources for this page

Verify at the official NPI Registry.