Sullivan, Tina Kaye

Sullivan, Tina Kaye is an individual health care provider with primary practice located at 601 E Reunion St , Fairfield TX 75840-1634. 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. Sullivan, Tina Kaye can be contacted via phone (903) 389-4121.

Contact Information

Primary practice address
601 E Reunion St Fairfield TX 75840-1634
Phone: (903) 389-4121
Fax: (903) 389-7066
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 2044436 Texas

Profile Details

NPI number 1366922031
LBN Legal business name Sullivan, Tina Kaye
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2018
Last updated Aug 21st, 2018 - about 7 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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