Stanaway, Ian Noble

Stanaway, Ian Noble is an individual health care provider with primary practice located at 6711 Mountain View Rd Ste. 115, Ooltewah TN 37363-6668. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Stanaway, Ian Noble can be contacted via phone (142) 323-8112.

Contact Information

Primary practice address
6711 Mountain View Rd Ste. 115 Ooltewah TN 37363-6668
Phone: (142) 323-8112
Fax: (423) 238-1277
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1730127085
LBN Legal business name Stanaway, Ian Noble
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Jan 19th, 2010 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1730127085 NPPES
Tennessee MEDICAID 5441377

Popular Providers