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NPI Code Detail

MEDICARE: VICKI C WORLEY PT

MEDICARE: VICKI C WORLEY PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist2126TN

General Provider Information

NPI Number : 1285872432
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICKI C WORLEY PT
Provider Business Mailing Address
First Line : 6633 LAMMIE BRANCH LN
Second Line :
City : KNOXVILLE
State : TN
Zip : 37938-2718
Country : US
Telephone Number : 865-922-3968
Fax Number :
Provider Business Practice Location Address
First Line : 8309 ASHEVILLE HWY
Second Line :
City : KNOXVILLE
State : TN
Zip : 37924-4102
Country : US
Telephone Number : 865-932-1334
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2009
Last Update Date : 01/27/2009

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Directions to “ VICKI C WORLEY PT” Practice Location

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