Individual provider · Type 1 NPI

Melissa Suzann Davenport, PTA

Physical Therapy Assistant · Carthage, TN

NPI number 1497040778 Active

Practice location

112 Health Care Dr
Carthage, TN 37030-1168

Mailing address

669 Trammel Rd
Lebanon, TN 37090-0778

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X02937 (TN)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1497040778

Melissa Suzann Davenport, PTA's National Provider Identifier is 1497040778, issued on Jun 14, 2011. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Carthage, TN. The record was last updated on Jun 14, 2011.