Provider Demographics
NPI:1750858908
Name:TRAMEL, CHARLIE PAUL (MPT)
Entity Type:Individual
Prefix:MR
First Name:CHARLIE
Middle Name:PAUL
Last Name:TRAMEL
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:527 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SMITHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37166-1137
Mailing Address - Country:US
Mailing Address - Phone:615-215-5470
Mailing Address - Fax:615-215-5603
Practice Address - Street 1:527 W MAIN ST
Practice Address - Street 2:
Practice Address - City:SMITHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37166-1137
Practice Address - Country:US
Practice Address - Phone:615-215-5470
Practice Address - Fax:615-215-5603
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-25
Last Update Date:2018-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7590225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist