Individual provider · Type 1 NPI

Kristi Dawn Mason Davenport, PTA

Physical Therapy Assistant · Manchester, TN

NPI number 1962571554 Active

Practice location

585 Interstate Dr
Manchester, TN 37355-3190

Call (931) 723-7159 Map

Mailing address

213 Cunningham Ford Rd
Rock Island, TN 38581-3032

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X3883 (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 1962571554

Kristi Dawn Mason Davenport, PTA's National Provider Identifier is 1962571554, issued on Nov 7, 2006. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Manchester, TN. The record was last updated on Jan 26, 2009.