Provider Demographics
NPI:1437791282
Name:HATFIELD-PARTIN, CIERRA NICOLE (PTA)
Entity Type:Individual
Prefix:
First Name:CIERRA
Middle Name:NICOLE
Last Name:HATFIELD-PARTIN
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 ROCK CREEK RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:CLAIRFIELD
Mailing Address - State:TN
Mailing Address - Zip Code:37715-3652
Mailing Address - Country:US
Mailing Address - Phone:423-201-1761
Mailing Address - Fax:
Practice Address - Street 1:362 CATALPA AVE
Practice Address - Street 2:
Practice Address - City:HARROGATE
Practice Address - State:TN
Practice Address - Zip Code:37752-8149
Practice Address - Country:US
Practice Address - Phone:423-869-9923
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-14
Last Update Date:2019-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN6891225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant