Healthcare Provider Details

I. General information

NPI: 1821632183
Provider Name (Legal Business Name): UNIFIED THERAPIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/30/2019
Last Update Date: 10/30/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 CHARLOTTE HWY SUITE 40
ASHEVILLE NC
28803
US

IV. Provider business mailing address

145 CHARLOTTE HWY SUITE 40
ASHEVILLE NC
28803
US

V. Phone/Fax

Practice location:
  • Phone: 865-804-9006
  • Fax:
Mailing address:
  • Phone: 865-804-9006
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2251N0400X
TaxonomyNeurology Physical Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: ALLISON FENDER
Title or Position: CEO, CO-FOUNDER, PT
Credential: DSC, PT
Phone: 865-804-9006