Provider Demographics
NPI:1790101129
Name:LOVIN, AMBER (LMT)
Entity Type:Individual
Prefix:MRS
First Name:AMBER
Middle Name:
Last Name:LOVIN
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4201 VALENCIA RD
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-7632
Mailing Address - Country:US
Mailing Address - Phone:865-207-7271
Mailing Address - Fax:
Practice Address - Street 1:4201 VALENCIA RD
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-7632
Practice Address - Country:US
Practice Address - Phone:865-207-7271
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-10
Last Update Date:2014-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN8272172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist