Mr. Hayden Ross Ervin
Physical Therapy Assistant
550 N Spring St
Sparta
, Tennessee 38583
Mr. Hayden Ross Ervin
Physical Therapy Assistant
550 N Spring St
Sparta
, Tennessee 38583
(615) 598-2483
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About
Features
Specialties
- Physical Therapy Assistant
Languages spoken
- English
Location
First Address
- Mr. Hayden Ross Ervin
- 4129 New Home Rd
- Smithville, TN
- Zip : 37166-6409
- Phone : (615) 598-2483
Second Address
- Mr. Hayden Ross Ervin
- 550 N Spring St
- Sparta, TN
- Zip : 38583
- Phone : (931) 837-2221
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | PTA0000006339 | TN |
National Provider Identifier
| NPI | 1013465772 |
|---|---|
| Provider Name | Mr. Hayden Ross Ervin |
| First Address | Smithville, TN 37166-6409 |
| Second Address | Sparta, TN 38583 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/09/2016 |
| Last Update Date | 08/03/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.