NPI 1962571554

Kristi Dawn Mason Davenport, PTA

Practitioner Physical Therapy Assistant Manchester, TN

Practice location

Address: 585 Interstate Dr, Manchester, TN 37355-3190
Phone: (931) 723-7159
Mailing address: 213 Cunningham Ford Rd, Rock Island, TN 38581-3032

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 3883 (TN)

Other Physical Therapy Assistant providers in Tennessee →

Registry record

NPI: 1962571554
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Nov 2006
Record last updated: 26 Jan 2009

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.