| P4 Physical Therapy- Blaine Llc | |
|
1999 Rutledge Pike, Blaine, TN 37709 | |
| (865) 498-6900 | |
| Not Available |
| Full Name | P4 Physical Therapy- Blaine Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1999 Rutledge Pike, Blaine, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437750841 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Julie R Williams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851372841 PECOS PAC ID: 6901833318 Enrollment ID: I20050718000581 |
| Provider Name | Cheryl G Young |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982657110 PECOS PAC ID: 7517977697 Enrollment ID: I20060503000809 |
| Provider Name | Sarah A Fair |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922433671 PECOS PAC ID: 9537393384 Enrollment ID: I20131009001474 |
| Provider Name | Mary K Andrews |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982019360 PECOS PAC ID: 4587883608 Enrollment ID: I20140922001872 |
| Provider Name | Stephanie Kay Blake |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164811279 PECOS PAC ID: 2668799214 Enrollment ID: I20150319002546 |
| Provider Name | Devan Canaday |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992459085 PECOS PAC ID: 5991199234 Enrollment ID: I20220302000519 |
| Provider Name | Cori Wase |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659526044 PECOS PAC ID: 9436202827 Enrollment ID: I20220308001340 |
| Mailing Address | Practice Location Address |
|---|---|
| P4 Physical Therapy- Blaine Llc 8059 Mitchell Ln, Vestavia Hills, AL 35216-6821 Ph: (205) 478-4418 | P4 Physical Therapy- Blaine Llc 1999 Rutledge Pike, Blaine, TN 37709 Ph: (865) 498-6900 |
Hannah Claire Horton, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1999 Rutledge Pike, Blaine, TN 37709 Phone: 865-498-6900 Fax: 865-498-6901 | |
Ms. Mary K Andrews, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1999 Rutledge Pike, Blaine, TN 37709 Phone: 865-498-6900 Fax: 865-498-6901 |