Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251S0007X | Physical Therapist - Sports | PT0000005953 | TN |
Y | 2251X0800X | Physical Therapist - Orthopedic | PT0000005953 | TN |
NPI | 1447351374 |
---|---|
Provider Name | Dr. Chris D. Maschhoff |
First Address | Ooltewah, TN 37363-5660 |
Second Address | Hixson, TN 37343-4072 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2006 |
Last Update Date | 19/12/2013 |