MEDICARE: FLOOR ANNEMARIE VAN DER MEULEN 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
1	225100000X	Physical Therapist	4733	TN

General Provider Information

NPI Number	:	1558590604
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FLOOR ANNEMARIE VAN DER MEULEN PT

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

Provider Business Practice Location Address
First Line	:	9292 KINGSTON PIKE
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37922-2380
Country	:	US
Telephone Number	:	865-392-1033
Fax Number	:	866-591-0619

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2009
Last Update Date	:	12/12/2025

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