Provider Demographics
NPI:1194507749
Name:BARNETTE, EVELYN ANNE MCCLARNON (LMT)
Entity type:Individual
Prefix:
First Name:EVELYN
Middle Name:ANNE MCCLARNON
Last Name:BARNETTE
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:524 TALIWA DR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37920-4242
Mailing Address - Country:US
Mailing Address - Phone:865-242-3401
Mailing Address - Fax:
Practice Address - Street 1:207 E MOODY AVE
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37920-4203
Practice Address - Country:US
Practice Address - Phone:865-242-3401
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-18
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN9331225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist