Provider Demographics
NPI:1154373926
Name:THOMASON, MARGARET LOVE (PT, DPT)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:LOVE
Last Name:THOMASON
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:NORWOOD
Other - Last Name:THOMASON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6397 LEE HWY STE 300
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-4915
Mailing Address - Country:US
Mailing Address - Phone:423-238-7217
Mailing Address - Fax:
Practice Address - Street 1:71121 HIGHWAY 21 APT D
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-7176
Practice Address - Country:US
Practice Address - Phone:985-898-3979
Practice Address - Fax:985-898-3981
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2020-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA08850R225100000X
OR5988225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WPT28496AMedicare ID - Type Unspecified