Individual
MRS. NANCY WILLIAMS HUMBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2255 CENTER STREET, SUITE 104, CHATTANOOGA, TN 37421
(423) 855-0745
(423) 855-7898
Mailing address
2255 CENTER STREET, SUITE 104, CHATTANOOGA, TN 37421
(423) 855-0745
(423) 855-7898
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
780
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4103517
BLUE CROSS OF TENNESSEE
TN
Enumeration date
08/19/2006
Last updated
07/08/2007
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