Provider Demographics
NPI:1295116457
Name:VETTER, LINZI MARIE (DPT)
Entity type:Individual
Prefix:DR
First Name:LINZI
Middle Name:MARIE
Last Name:VETTER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:LINZI
Other - Middle Name:MARIE
Other - Last Name:ROBINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1140 PERIMETER PARK DR
Mailing Address - Street 2:
Mailing Address - City:COOKEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38501-0922
Mailing Address - Country:US
Mailing Address - Phone:931-526-2345
Mailing Address - Fax:
Practice Address - Street 1:1140 PERIMETER PARK DR
Practice Address - Street 2:
Practice Address - City:COOKEVILLE
Practice Address - State:TN
Practice Address - Zip Code:38501-0922
Practice Address - Country:US
Practice Address - Phone:931-526-2345
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-14
Last Update Date:2015-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN10436225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist