| Southern Rehab & Aquatics | |
|
400 Dixie Lee Center Rd, Suite A, Kimball, TN 37347-5672 | |
| (423) 837-7536 | |
| (423) 837-7538 |
| Full Name | Southern Rehab & Aquatics |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 400 Dixie Lee Center Rd, Kimball, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760502520 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT0000006009 (Tennessee) | Primary |
| Provider Name | Anne K Blevins |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184663775 PECOS PAC ID: 6305880931 Enrollment ID: I20050615000165 |
| Provider Name | Tracy D Kennemore |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972526515 PECOS PAC ID: 6800816042 Enrollment ID: I20051202000399 |
| Provider Name | Rachel Carter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063468593 PECOS PAC ID: 1456449677 Enrollment ID: I20071121000157 |
| Provider Name | Dennis Ray Blevins |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699142703 PECOS PAC ID: 6800106477 Enrollment ID: I20151111000562 |
| Provider Name | Kacie M Hayes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023596954 PECOS PAC ID: 6406100254 Enrollment ID: I20181113003036 |
| Provider Name | Holly Brooke Nelson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790345122 PECOS PAC ID: 1355678756 Enrollment ID: I20200708002642 |
| Provider Name | Jennifer E Mckee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548456619 PECOS PAC ID: 4587748835 Enrollment ID: I20220124000140 |
| Provider Name | Melanie R Wortman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932153624 PECOS PAC ID: 8325574890 Enrollment ID: I20241206001689 |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Rehab & Aquatics 400 Dixie Lee Center Rd, Kimball, TN 37347-5672 Ph: (423) 837-7536 | Southern Rehab & Aquatics 400 Dixie Lee Center Rd, Suite A, Kimball, TN 37347-5672 Ph: (423) 837-7536 |
Mrs. Kacie Mcclendon Hayes, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 400 Dixie Lee Center Rd Ste A, Kimball, TN 37347 Phone: 423-837-7536 | |
Rachel Carter, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 400 Dixie Lee Center Rd, Suite A, Kimball, TN 37347 Phone: 423-837-7536 Fax: 423-837-7538 | |
Dr. Dennis Ray Blevins Jr., DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 400 Dixie Lee Center Rd, Suite A, Kimball, TN 37347 Phone: 423-837-7536 Fax: 423-837-7538 | |
Tracy Dewayne Kennemore, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 400 Dixie Lee Center Rd, Kimball, TN 37347 Phone: 423-837-7536 Fax: 423-837-7538 |