Provider Demographics
NPI:1780628412
Name:ELBERS, TONIA BAILEY (PT)
Entity Type:Individual
Prefix:MRS
First Name:TONIA
Middle Name:BAILEY
Last Name:ELBERS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:TONIA
Other - Middle Name:BAILEY
Other - Last Name:GARLAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:VETERANS AFFAIRS MEDICAL CENTER-JOHNSON CITY
Mailing Address - Street 2:PHYSICAL THERAPY (117)
Mailing Address - City:MOUNTAIN HOME
Mailing Address - State:TN
Mailing Address - Zip Code:37684
Mailing Address - Country:US
Mailing Address - Phone:423-926-1171
Mailing Address - Fax:423-979-3618
Practice Address - Street 1:VETERANS AFFAIRS MEDICAL CENTER-JOHNSON CITY
Practice Address - Street 2:PHYSICAL THERAPY (117)
Practice Address - City:MOUNTAIN HOME
Practice Address - State:TN
Practice Address - Zip Code:37684
Practice Address - Country:US
Practice Address - Phone:423-926-1171
Practice Address - Fax:423-979-3618
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-15
Last Update Date:2018-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5451225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist