IndividualActive
Agnes Dickenson
NPI 1689018244 · Geriatric Physical Therapist · Martin, TN
Provider details
- NPI number
- 1689018244
- Entity type
- Individual
- Primary specialty
- Geriatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- TN3367 (TN)
Mailing address
103 Shadow Wood Cv
Martin, TN 38237-8148
Registry dates
- Enumerated
- 2013-04-24
- Last updated
- 2013-04-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.