Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STEPHEN TAYLOR LAKE, MPT
ActiveSTEPHEN TAYLOR LAKE, MPT is a Physical Therapy Assistant healthcare provider located in OOLTEWAH, Tennessee. NPI 1689620106 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · OOLTEWAH, TN
Registration Details
- NPI Number
- 1689620106
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 26, 2006 (20.176765958368 yrs)
- Last Updated
- Oct 30, 2018
- Licenses
-
3705 (TN)PT004097 (GA)
Practice Information
- Address
-
4957 SWINYAR DR STE 103OOLTEWAH, TN, 373632205Browse TN providers · Browse ZIP 37363
- Phone
- 4236640800
- Fax
- 4236640801
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in OOLTEWAH, TN
| Name | Credential | NPI |
|---|---|---|
| KATHERINE SUSANNA MEDLEY | DPT | 1841238193 |
| IAN NOBLE STANAWAY | MPT | 1730127085 |
| MS. JANET GREER D'AMICO | PT | 1952332967 |
| TROY DALE BAGE | PT | 1679650824 |
| JILL STONE | PT | 1053463307 |
| JOHN M. FERNEYHOUGH | MPT | 1629192257 |
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.