Virginia Rader, | |
517 N Main St Ste B, Greeneville, TN 37745-3428 | |
(423) 638-1111 | |
Not Available |
Full Name | Virginia Rader |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 517 N Main St Ste B, Greeneville, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215792650 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 15440 (Tennessee) | Primary |
Provider Name | Agilitas Usa Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1962417444 PECOS PAC ID: 3375454648 Enrollment ID: O20041115000337 |
Mailing Address | Practice Location Address |
---|---|
Virginia Rader, 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (423) 238-7217 | Virginia Rader, 517 N Main St Ste B, Greeneville, TN 37745-3428 Ph: (423) 638-1111 |
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