Provider Demographics
NPI:1255407219
Name:LEVI, CATHERINE LORRAINE (PTA)
Entity type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:LORRAINE
Last Name:LEVI
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:MS
Other - First Name:CATHERINE
Other - Middle Name:LORRAINE
Other - Last Name:NASH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1310 ELLIOTT 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:615-893-5323
Mailing Address - Fax:
Practice Address - Street 1:119 WEST HIGH STREET
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:TN
Practice Address - Zip Code:37190
Practice Address - Country:US
Practice Address - Phone:615-563-5939
Practice Address - Fax:
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
TNTN#133225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant