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NPI Code Detail

MEDICARE: MRS. VANESSA NICOLE HALL LPTA

MEDICARE: MRS. VANESSA NICOLE HALL LPTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy Assistant4044TN

General Provider Information

NPI Number : 1265532709
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. VANESSA NICOLE HALL LPTA
Provider Business Mailing Address
First Line : 1903 RIDGEPARK LN
Second Line :
City : KNOXVILLE
State : TN
Zip : 37912-4466
Country : US
Telephone Number : 865-548-1006
Fax Number :
Provider Business Practice Location Address
First Line : 809 E EMERALD AVE
Second Line :
City : KNOXVILLE
State : TN
Zip : 37917-5550
Country : US
Telephone Number : 865-524-7366
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2006
Last Update Date : 07/08/2007

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