Provider Demographics
NPI:1205902327
Name:WATSON, VICKI SPEHAR (PT)
Entity type:Individual
Prefix:MRS
First Name:VICKI
Middle Name:SPEHAR
Last Name:WATSON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MRS
Other - First Name:VICKI
Other - Middle Name:SPEHAR
Other - Last Name:LOVELESS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:711 MAJESTY DRIVE
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129
Mailing Address - Country:US
Mailing Address - Phone:615-898-0263
Mailing Address - Fax:
Practice Address - Street 1:420 N UNIVERSITY ST
Practice Address - Street 2:NHC REHABILITATION
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37130
Practice Address - Country:US
Practice Address - Phone:615-893-2619
Practice Address - Fax:615-893-6035
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNPT404225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist