Healthcare Provider Details

I. General information

NPI: 1649103946
Provider Name (Legal Business Name): CHLOE STINNETT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1420 TUSCULUM BLVD
GREENEVILLE TN
37745-4279
US

IV. Provider business mailing address

540 CONARD RD
COSBY TN
37722-3042
US

V. Phone/Fax

Practice location:
  • Phone: 423-787-5000
  • Fax:
Mailing address:
  • Phone: 423-237-2092
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number9126
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: