Mrs Deidre Dione Blue, PT, ATC | |
2415 Mccallie Ave, Chattanooga, TN 37404-3322 | |
(423) 622-6200 | |
Not Available |
Full Name | Mrs Deidre Dione Blue |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 2415 Mccallie Ave, Chattanooga, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306048764 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2305212577 (Virginia) | Secondary |
225100000X | Physical Therapist | 0000005485 (Tennessee) | Primary |
Provider Name | Independent Physical Therapy Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1104878354 PECOS PAC ID: 9335056308 Enrollment ID: O20040928000202 |
Mailing Address | Practice Location Address |
---|---|
Mrs Deidre Dione Blue, PT, ATC 5750 Lake Resort Dr Apt H107, Chattanooga, TN 37415-7045 Ph: (423) 877-4723 | Mrs Deidre Dione Blue, PT, ATC 2415 Mccallie Ave, Chattanooga, TN 37404-3322 Ph: (423) 622-6200 |
Bryan Curtis Clary, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2415 Mccallie Ave, Chattanooga, TN 37404 Phone: 423-622-6200 Fax: 423-622-6200 | |
Anna Hurdle, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2415 Mccallie Ave, Chattanooga, TN 37404 Phone: 423-697-8780 | |
Mr. Hans Calvin Humberger, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2255 Center Street, Suite 104, Chattanooga, TN 37421 Phone: 423-855-0745 Fax: 423-855-7898 | |
Independent Physical Therapy Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4626 Highway 58, Chattanooga, TN 37416 Phone: 423-553-7972 Fax: 423-553-7973 | |
Ultimate Performance Physical Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 2211 E Main St Ste C, Chattanooga, TN 37404 Phone: 530-401-0631 | |
Chattanooga Spine Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2307 Napier Rd, Suite 103, Chattanooga, TN 37421 Phone: 423-894-0014 | |
Jonathan Lee Brigner, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2700 Parkwood Ave, Chattanooga, TN 37404 Phone: 423-624-1533 |