Mark Wade, PTA
Physical Therapy Assistant in Knoxville, TN. Individual provider (NPI-1).
NPI number1043769151
StatusActive
Last updated in NPPESSep 30, 2016
Details
- NPI
- 1043769151
- Entity type
- Individual (NPI-1)
- Name
- Mr. Mark Wade
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 30, 2016
- Last updated
- Sep 30, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 4545 | TN | Yes |
Practice location
2120 Highland AveKnoxville, TN 37916-1112
Phone 865-525-4131
Mailing address
2120 Highland AveKnoxville, TN 37916-1112
Phone 865-525-4131
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All 149 Physical Therapy Assistant providers in Knoxville · All 17,212 providers in Knoxville
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