Kercheville, Austin William

Kercheville, Austin William is an individual health care provider with primary practice located at 6401 Shallowford Rd , Chattanooga TN 37421-5406. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as his primary health care specialty. Kercheville, Austin William can be contacted via phone (423) 893-6500.

Contact Information

Primary practice address
6401 Shallowford Rd Chattanooga TN 37421-5406
Phone: (423) 893-6500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 11697 Tennessee

Profile Details

NPI number 1972096576
LBN Legal business name Kercheville, Austin William
Credentials PT, DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2018
Last updated Feb 27th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972096576 NPPES
Tennessee Other 11697 TENNESSEE STATE BOARD OF PHYSICAL THERAPY

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