NPI 1043769151

Mark Wade, PTA

Practitioner Physical Therapy Assistant Knoxville, TN

Practice location

Address: 2120 Highland Ave, Knoxville, TN 37916-1112
Phone: (865) 525-4131

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 4545 (TN)

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Registry record

NPI: 1043769151
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Sep 2016
Record last updated: 30 Sep 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.