Medley, Katherine Susanna

Medley, Katherine Susanna is an individual health care provider with primary practice located at 9222 Lee Hwy Ste C , Ooltewah TN 37363-8872. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Medley, Katherine Susanna can be contacted via phone (423) 238-9444.

Contact Information

Primary practice address
9222 Lee Hwy Ste C Ooltewah TN 37363-8872
Fax: (423) 238-9499
Website:

Health care specialties

Profile Details

NPI number 1841238193
LBN Legal business name Medley, Katherine Susanna
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Nov 5th, 2012 - about 12 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 1841238193 NPPES
Tennessee MEDICAID 0446652
Tennessee Other 3156797
Tennessee MEDICAID 3645813
Tennessee Other 4109673

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