Healthcare Provider Details

I. General information

NPI: 1275742777
Provider Name (Legal Business Name): ROSALYN S SCHLITT P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1095 E LAMAR ALEXANDER PKWY
MARYVILLE TN
37804-5134
US

IV. Provider business mailing address

1215 OAK PARK AVE
MARYVILLE TN
37803-5736
US

V. Phone/Fax

Practice location:
  • Phone: 865-981-2160
  • Fax:
Mailing address:
  • Phone: 865-681-3357
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License NumberPT0000002450
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: