Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK KEVIN OLLER VIDUYA
Active Sole ProprietorMARK KEVIN OLLER VIDUYA is a Physical Therapy Assistant healthcare provider located in MADISONVILLE, Tennessee. NPI 1407557580 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · MADISONVILLE, TN
Registration Details
- NPI Number
- 1407557580
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 15, 2023 (3.2333960997082 yrs)
- Last Updated
- Mar 15, 2023
- License
-
012542 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4249 HIGHWAY 411 STE 4MADISONVILLE, TN, 373541544Browse TN providers · Browse ZIP 37354
- Phone
- 4234424034
- Fax
- 4234426463
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in MADISONVILLE, TN
| Name | Credential | NPI |
|---|---|---|
| MRS. SHANNON R SCOGGINS | P.T. | 1972541209 |
| MRS. NICOLE MARIE CRESSWELL | MSPT | 1922048347 |
| MR. DEREK MEACHAM | MPT | 1295942720 |
| JUSTIN BROWN | PT | 1376946459 |
| ZACHARY JOHN GERBER | DPT | 1699124024 |
| LANCE HODGE | PT | 1043835283 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.