Individual
TIMOTHY EVERETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
15 JANE JACOBS RD, SUITE 202, BLACK MOUNTAIN, NC 28711-6306
(828) 669-8643
(828) 669-8648
Mailing address
142 LA MANCHA DR APT B, ASHEVILLE, NC 28805-2195
(337) 581-0124
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
P12653
NC
2251X0800X
Orthopedic Physical Therapist
PT27234
FL
Other
Enumeration date
05/04/2012
Last updated
11/15/2012
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