Provider Demographics
NPI:1396952461
Name:CLINE, ELLEN STANPHILL (PT)
Entity type:Individual
Prefix:MRS
First Name:ELLEN
Middle Name:STANPHILL
Last Name:CLINE
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 1:1 SISKIN PLAZA
Mailing Address - Street 2:SISKIN HOSPITAL THERAPY SERVICES WITH ERLANGER
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37403
Mailing Address - Country:US
Mailing Address - Phone:423-778-4901
Mailing Address - Fax:
Practice Address - Street 1:1501 RIVERSIDE DR
Practice Address - Street 2:STE. 270
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37406-4309
Practice Address - Country:US
Practice Address - Phone:423-778-3196
Practice Address - Fax:423-778-6197
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2007-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5993225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist