Healthcare Provider Details

I. General information

NPI: 1760171052
Provider Name (Legal Business Name): KATIE THORPE DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2023
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

428 E VANN RD
GREENEVILLE TN
37743-7202
US

IV. Provider business mailing address

400 BARREN VALLEY RD
CHUCKEY TN
37641
US

V. Phone/Fax

Practice location:
  • Phone: 423-278-1976
  • Fax: 423-278-1976
Mailing address:
  • Phone: 865-322-2816
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: