Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
COREEN KELLY HAVRON, P.T.
Active Sole ProprietorCOREEN KELLY HAVRON, P.T. is a Physical Therapy Assistant healthcare provider located in PEGRAM, Tennessee. NPI 1417185869 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · PEGRAM, TN
Registration Details
- NPI Number
- 1417185869
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 24, 2009 (17.157028806922 yrs)
- Last Updated
- Jun 24, 2009
- License
-
6948 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9011 OLD CHARLOTTE PIKEPEGRAM, TN, 371439422Browse TN providers · Browse ZIP 37143
- Phone
- 6152165540
- Primary Specialty
-
Physical Therapy Assistant
225100000X
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.