Provider Demographics
NPI:1841657699
Name:THOMPSON, FRANCES D (TN 2917, KY A03002)
Entity type:Individual
Prefix:
First Name:FRANCES
Middle Name:D
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:TN 2917, KY A03002
Other - Prefix:
Other - First Name:FRANCES
Other - Middle Name:DEJARNETTE
Other - Last Name:THOMPSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:VA 2306603253
Mailing Address - Street 1:717 LOWER POND WAY
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37920-0810
Mailing Address - Country:US
Mailing Address - Phone:865-661-3319
Mailing Address - Fax:
Practice Address - Street 1:717 LOWER POND WAY
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37920
Practice Address - Country:US
Practice Address - Phone:865-661-3319
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-25
Last Update Date:2018-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2917225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant