Dale R Corum Ii, PT | |
4357 Maynardville Hwy, Maynardville, TN 37807-3623 | |
(865) 745-1799 | |
(865) 745-1806 |
Full Name | Dale R Corum Ii |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 26 Years |
Location | 4357 Maynardville Hwy, Maynardville, Tennessee |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982624250 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 004863 (Kentucky) | Secondary |
225100000X | Physical Therapist | PT0000005712 (Tennessee) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
East Tennessee Physical Therapy Llc | 7810294832 | 2 |
Provider Name | East Tennessee Physical Therapy Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1134504764 PECOS PAC ID: 7810294832 Enrollment ID: O20160318000133 |
Mailing Address | Practice Location Address |
---|---|
Dale R Corum Ii, PT Po Box 96, Maynardville, TN 37807-0096 Ph: () - | Dale R Corum Ii, PT 4357 Maynardville Hwy, Maynardville, TN 37807-3623 Ph: (865) 745-1799 |
Colorado Abella, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2945 Maynardville Hwy, Ste. 9, Maynardville, TN 37807 Phone: 865-992-6933 Fax: 865-992-6870 | |
Agnes R Abella, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 110 Skyline Dr Ste B, Maynardville, TN 37807 Phone: 865-992-6933 Fax: 865-992-6870 | |
Independent Physical Therapy Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4356 Maynardville Hwy Ste 3, Maynardville, TN 37807 Phone: 865-630-9030 Fax: 865-312-6459 |