Individual
MRS. PAGE ELLIS MAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
130 W RAVINE RD, KINGSPORT, TN 37660-3810
(423) 224-5510
(423) 224-5544
Mailing address
1820 BUCKINGHAM CT, KINGSPORT, TN 37660-5870
(423) 288-6861
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3321
TN
Other
Enumeration date
02/19/2007
Last updated
07/08/2007
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