Secrest, Margaret R

Secrest, Margaret R is an individual health care provider with primary practice located at 6219 Vance Rd , Chattanooga TN 37421-2979. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Secrest, Margaret R can be contacted via phone (423) 553-8175.

Contact Information

Primary practice address
6219 Vance Rd Chattanooga TN 37421-2979
Fax: (423) 553-8177
Website:

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT00000002243 Tennessee

Profile Details

NPI number 1548253230
LBN Legal business name Secrest, Margaret R
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2005
Last updated May 8th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548253230 NPPES
Tennessee Other 3157469 BCBS PROVIDER #
Tennessee MEDICAID 3653366 BCBS PROVIDER #
Tennessee Other 621829028 BCBS PROVIDER #

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