Provider Demographics
NPI:1366991226
Name:CATRON, LACRETIA
Entity type:Individual
Prefix:
First Name:LACRETIA
Middle Name:
Last Name:CATRON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 OLD HICKORY BLVD
Mailing Address - Street 2:218
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37221-2900
Mailing Address - Country:US
Mailing Address - Phone:901-270-5741
Mailing Address - Fax:
Practice Address - Street 1:111 OLD HICKORY BLVD
Practice Address - Street 2:218
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37221-2900
Practice Address - Country:US
Practice Address - Phone:901-270-5741
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-03
Last Update Date:2016-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4517225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist