Provider Demographics
NPI:1821215815
Name:TINGLEY, VALERIE ALLISON (PT)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:ALLISON
Last Name:TINGLEY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1530 BECKENHALL CV
Mailing Address - Street 2:
Mailing Address - City:COLLIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38017-8669
Mailing Address - Country:US
Mailing Address - Phone:901-850-0755
Mailing Address - Fax:
Practice Address - Street 1:1500 W. POPLAR AVE
Practice Address - Street 2:DEPT OF PHYSICAL THERAPY
Practice Address - City:COLLIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:38017
Practice Address - Country:US
Practice Address - Phone:901-861-8926
Practice Address - Fax:901-861-8925
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5216302225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist