NPI 1124632831
Mary Helen Fuqua, CTRS
Practice location
- Address
- 809 Lamont St, Johnson City, TN 37604-5453
- Phone
- (423) 926-1171
- Mailing address
- PO Box 4000, Mountain Home, TN 37684-4000
Registered specialties
Recreation Therapist
Primary
Registry record
- NPI
- 1124632831
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 1 Sep 2020
- Record last updated
- 1 Sep 2020
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.