Schanda Fugate
Physical Therapy Assistant
136 Davis Ln
La Follette
, Tennessee 37766-3118
Schanda Fugate
Physical Therapy Assistant
136 Davis Ln
La Follette
, Tennessee 37766-3118
(423) 277-6615
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About
Features
Specialties
- Physical Therapy Assistant
Languages spoken
- English
Location
First Address
- Schanda Fugate
- 829 W Mountcastle St
- Jefferson City, TN
- Zip : 37760-1829
- Phone : (423) 277-6615
Second Address
- Schanda Fugate
- 136 Davis Ln
- La Follette, TN
- Zip : 37766-3118
- Phone : (423) 562-0760
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 4666 | TN |
National Provider Identifier
| NPI | 1003242470 |
|---|---|
| Provider Name | Schanda Fugate |
| First Address | Jefferson City, TN 37760-1829 |
| Second Address | La Follette, TN 37766-3118 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/09/2013 |
| Last Update Date | 18/09/2013 |
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.