Provider Demographics
NPI:1366505356
Name:TEASLEY, ANNE B (MS, SPE)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:B
Last Name:TEASLEY
Suffix:
Gender:F
Credentials:MS, SPE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9804 CRESTLINE DR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37922-5700
Mailing Address - Country:US
Mailing Address - Phone:865-966-6045
Mailing Address - Fax:
Practice Address - Street 1:1901 W CLINCH AVE
Practice Address - Street 2:PATRICIA NEAL REHAB CENTER, 5 EAST
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37916-2307
Practice Address - Country:US
Practice Address - Phone:865-541-3581
Practice Address - Fax:865-541-2202
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNPE0000011140174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist