Provider Demographics
NPI:1104924026
Name:HABELT, DEBBIE (ATC)
Entity type:Individual
Prefix:
First Name:DEBBIE
Middle Name:
Last Name:HABELT
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1009 SHADOWBROOK DR
Mailing Address - Street 2:
Mailing Address - City:GREENBRIER
Mailing Address - State:TN
Mailing Address - Zip Code:37073-5753
Mailing Address - Country:US
Mailing Address - Phone:615-643-6220
Mailing Address - Fax:
Practice Address - Street 1:232 HUTTON PL
Practice Address - Street 2:SUITE 120
Practice Address - City:ASHLAND CITY
Practice Address - State:TN
Practice Address - Zip Code:37015-4932
Practice Address - Country:US
Practice Address - Phone:615-792-5733
Practice Address - Fax:615-792-5734
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAT 00000004362255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer