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
Phone: (423) 238-9444
Fax: (423) 238-9499
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1841238193 | NPPES |
Tennessee | MEDICAID | 0446652 | |
Tennessee | Other | 3156797 | |
Tennessee | MEDICAID | 3645813 | |
Tennessee | Other | 4109673 |
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