Staten, Tammy Rebecca
Staten, Tammy Rebecca is an sole proprietor health care provider with primary practice located at 5006 Magnolia Estates Blvd , Mount Juliet TN 37122-8248. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Staten, Tammy Rebecca can be contacted via phone (615) 568-3832.Contact Information
Primary practice address
5006 Magnolia Estates Blvd
Mount Juliet TN 37122-8248
Phone: (615) 568-3832
Fax: (615) 773-4580
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | PTA0000001875 | Tennessee |
Profile Details
| NPI number | 1588006449 |
|---|---|
| LBN Legal business name | Staten, Tammy Rebecca |
| Credentials | LPTA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 20th, 2013 |
| Last updated | Jun 22nd, 2024 - about last year |
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 | 1588006449 | NPPES |
| Tennessee | Other | PTA0000001875 | TN LIC. FOR PHYSICAL THERAPY |
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