Whalio Doctors

NPI 1124632831

Mary Helen Fuqua, CTRS

Practitioner Recreation Therapist Johnson City, TN

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
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225800000X

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.