Provider Demographics
NPI:1801803986
Name:MCENTIRE, TAMARA E (PT)
Entity type:Individual
Prefix:MS
First Name:TAMARA
Middle Name:E
Last Name:MCENTIRE
Suffix:
Gender:F
Credentials:PT
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Mailing Address - Street 1:23 TURTLE CREEK DRIVE
Mailing Address - Street 2:STE 7 SEFR AQUATIC CENTER
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803
Mailing Address - Country:US
Mailing Address - Phone:828-274-2188
Mailing Address - Fax:828-274-7843
Practice Address - Street 1:23 TURTLE CREEK DRIVE
Practice Address - Street 2:STE 7 SOUTHEASTERN FITNESS & REHABILITATION INC
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803
Practice Address - Country:US
Practice Address - Phone:828-274-2188
Practice Address - Fax:828-274-7843
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC7980225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist