Provider Demographics
NPI:1437762358
Name:ECKLER, DENICE MARIE (PT)
Entity Type:Individual
Prefix:MRS
First Name:DENICE
Middle Name:MARIE
Last Name:ECKLER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:136 AMHURST AVE
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37411-5205
Mailing Address - Country:US
Mailing Address - Phone:423-322-5218
Mailing Address - Fax:
Practice Address - Street 1:136 AMHURST AVE
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37411-5205
Practice Address - Country:US
Practice Address - Phone:423-322-5218
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-29
Last Update Date:2020-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist