IndividualActive
Dierdre Charlett
NPI 1164059093 · Pediatric Physical Therapist · Kingston, TN
Provider details
- NPI number
- 1164059093
- Entity type
- Individual
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 12758 (TN)
Mailing address
Po Box 4847
Oak Ridge, TN 37831-4847
Registry dates
- Enumerated
- 2020-03-23
- Last updated
- 2020-03-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.