Mary Kathleen Gravatt, PTA
Physical Therapy Assistant in Maryville, TN. Individual provider (NPI-1).
NPI number1669964672
StatusActive
Last updated in NPPESJun 5, 2018
Details
- NPI
- 1669964672
- Entity type
- Individual (NPI-1)
- Name
- Mary Kathleen Gravatt
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 5, 2018
- Last updated
- Jun 5, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 5424 | TN | Yes |
Practice location
1750 Linda LnMaryville, TN 37803
Phone 865-200-3093
Mailing address
1750 Linda LnMaryville, TN 37803-5536
Phone 865-200-3093
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All 32 Physical Therapy Assistant providers in Maryville · All 1,651 providers in Maryville
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