Provider Demographics
NPI:1558313825
Name:KRAMER, DINA N (PT)
Entity Type:Individual
Prefix:MS
First Name:DINA
Middle Name:N
Last Name:KRAMER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MS
Other - First Name:DINA
Other - Middle Name:
Other - Last Name:NOORILY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:8663 MIDDLEBROOK PIKE
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37923-1612
Mailing Address - Country:US
Mailing Address - Phone:865-801-9380
Mailing Address - Fax:865-381-0707
Practice Address - Street 1:8663 MIDDLEBROOK PIKE
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37923-1612
Practice Address - Country:US
Practice Address - Phone:865-801-9380
Practice Address - Fax:865-381-0707
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2019-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2131225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNCH4394OtherMEDICARE-RAILROAD GROUP ID
TN3659131Medicaid
TN4083439OtherBLUE CROSS
TNCH4394OtherMEDICARE-RAILROAD GROUP ID