Healthcare Provider Details

I. General information

NPI: 1043348113
Provider Name (Legal Business Name): SISKIN HOSPITAL FOR PHYSICAL REHABILITATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2007
Last Update Date: 08/11/2020
Certification Date: 08/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 SISKIN PLZ
CHATTANOOGA TN
37403-1306
US

IV. Provider business mailing address

1 SISKIN PLZ
CHATTANOOGA TN
37403-1306
US

V. Phone/Fax

Practice location:
  • Phone: 423-634-1200
  • Fax: 423-634-4587
Mailing address:
  • Phone: 423-634-1200
  • Fax: 423-634-4587

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: MS. CAROL ARNHART
Title or Position: CFO
Credential:
Phone: 423-634-1587