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NPI Code Detail

MEDICARE: EZEKIEL LEWIS CONNATSER

MEDICARE: EZEKIEL LEWIS CONNATSER
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
1225200000XPhysical Therapy Assistant9131TN

General Provider Information

NPI Number : 1700702446
Entity Type Code : Individual
Provider Name (Legal Business Name) : EZEKIEL LEWIS CONNATSER
Provider Business Mailing Address
First Line : 809 E EMERALD AVE
Second Line :
City : KNOXVILLE
State : TN
Zip : 37917-5550
Country : US
Telephone Number : 865-524-7366
Fax Number : 865-637-4402
Provider Business Practice Location Address
First Line : 809 E EMERALD AVE
Second Line :
City : KNOXVILLE
State : TN
Zip : 37917-5550
Country : US
Telephone Number : 865-524-7366
Fax Number : 865-637-4402
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2026
Last Update Date : 06/26/2026

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Directions to “ EZEKIEL LEWIS CONNATSER ” Practice Location

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