NPI Code Details Logo

NPI 1558590604

NPI 1558590604 : FLOOR ANNEMARIE VAN DER MEULEN PT : KNOXVILLE, TN

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1558590604
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    FLOOR ANNEMARIE VAN DER MEULEN PT
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/10/2009
-----------------------------------------------------
    Last Update Date     |    12/12/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    9292 KINGSTON PIKE 
-----------------------------------------------------
    City                 |    KNOXVILLE
-----------------------------------------------------
    State                |    TN
-----------------------------------------------------
    Zip                  |    37922-2380
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    865-392-1033
-----------------------------------------------------
    Fax                  |    866-591-0619
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    4109 MOUNTAIN VIEW AVE STE 100 
-----------------------------------------------------
    City                 |    CHATTANOOGA
-----------------------------------------------------
    State                |    TN
-----------------------------------------------------
    Zip                  |    37415-2096
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    423-842-9322
-----------------------------------------------------
    Fax                  |    866-591-0619
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    225100000X
-----------------------------------------------------
    Taxonomy Name        |    Physical Therapist
-----------------------------------------------------
    License Number       |    4733
-----------------------------------------------------
    License Number State |    TN
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.