William David Van Eaton, PT | |
210 Walmart Dr, Suite 100, Soddy Daisy, TN 37379-5022 | |
(423) 332-9490 | |
(423) 332-3817 |
Full Name | William David Van Eaton |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 210 Walmart Dr, Soddy Daisy, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174577571 | NPI | - | NPPES |
3156797 | Other | TN | GROUP NUMBER |
0446652 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Independent Physical Therapy Llc |
---|---|
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 |
---|---|
William David Van Eaton, PT 8823 Production Ln, Ooltewah, TN 37363-6511 Ph: (423) 238-7217 | William David Van Eaton, PT 210 Walmart Dr, Suite 100, Soddy Daisy, TN 37379-5022 Ph: (423) 332-9490 |
Coty Alan Malone, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 210 Walmart Dr Ste 100, Soddy Daisy, TN 37379 Phone: 423-332-9490 Fax: 423-332-3817 | |
Alexia Wohlfert, Physical Therapist Medicare: Medicare Enrolled Practice Location: 222 Sequoyah Rd Ste 4, Soddy Daisy, TN 37379 Phone: 423-332-3601 | |
Cassandra Marie Haslett-rogers, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 222 Sequoyah Rd # 4, Soddy Daisy, TN 37379 Phone: 423-332-3601 | |
Tanner W Linz, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 210 Walmart Dr Ste 100, Soddy Daisy, TN 37379 Phone: 423-332-9490 Fax: 423-332-3817 | |
Elizabeth Inskeep Shinpaugh, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2402 Horseshoe Dr, Soddy Daisy, TN 37379 Phone: 919-800-1951 | |
Glenn R Carlson, MSPT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 210 Walmart Dr Ste 100, Benchmark Physical Therapy, Soddy Daisy, TN 37379 Phone: 423-332-9490 |