Provider Demographics
NPI:1083167068
Name:POWERS, CHELSEA LYNN
Entity Type:Individual
Prefix:MRS
First Name:CHELSEA
Middle Name:LYNN
Last Name:POWERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11201 W POINT DR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37934-2833
Mailing Address - Country:US
Mailing Address - Phone:865-392-6001
Mailing Address - Fax:865-392-6003
Practice Address - Street 1:11201 W POINT DR
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37934-2833
Practice Address - Country:US
Practice Address - Phone:865-392-6001
Practice Address - Fax:865-392-6003
Is Sole Proprietor?:No
Enumeration Date:2016-07-26
Last Update Date:2019-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN6340225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant