Provider Demographics
NPI:1194000471
Name:KENT, MARGARET LEA THOMPSON (DPT)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET LEA
Middle Name:THOMPSON
Last Name:KENT
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:MARLEA
Other - Middle Name:
Other - Last Name:KENT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DPT
Mailing Address - Street 1:1116 VALENTINE CIR
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37405-2866
Mailing Address - Country:US
Mailing Address - Phone:423-645-3209
Mailing Address - Fax:423-622-4834
Practice Address - Street 1:2212 ENCOMPASS DR STE 148
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-1577
Practice Address - Country:US
Practice Address - Phone:423-622-6900
Practice Address - Fax:423-622-4834
Is Sole Proprietor?:No
Enumeration Date:2011-10-18
Last Update Date:2018-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN8900225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist