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Marie Therese Vazquez, PTA

Physical Therapy Assistant in East Ellijay, GA. Individual provider (NPI-1).

NPI number1669955746
StatusActive
Last updated in NPPESSep 13, 2018

Details

NPI
1669955746
Entity type
Individual (NPI-1)
Name
Marie Therese Vazquez
Credential
PTA
Sex
Female
Sole proprietor
No
Enumeration date
Sep 13, 2018
Last updated
Sep 13, 2018

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy AssistantPTA003184GAYes

Practice location

190 Old Orchard Sq
East Ellijay, GA 30540-8172

Phone 706-273-3131 · Fax 706-273-3133

Mailing address

6397 Lee Hwy Ste 300
Chattanooga, TN 37421-2564

Phone 423-238-7217 · Fax 423-362-8684

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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