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NPI Code Detail

MEDICARE: TANYA NAUMANN

MEDICARE: TANYA NAUMANN
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 Assistant4528TN

General Provider Information

NPI Number : 1912203167
Entity Type Code : Individual
Provider Name (Legal Business Name) : TANYA NAUMANN
Provider Business Mailing Address
First Line : 136 HEATHER GLEN DRIVE
Second Line :
City : KINGSPORT
State : TN
Zip : 37663
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2004 AMERICAN WAY
Second Line :
City : KINGSPORT
State : TN
Zip : 37660-5892
Country : US
Telephone Number : 423-726-1898
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2011
Last Update Date : 02/07/2011

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Directions to “ TANYA NAUMANN ” Practice Location

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