Provider Demographics
NPI:1982019360
Name:ANDREWS, MARY K (PT)
Entity type:Individual
Prefix:MS
First Name:MARY
Middle Name:K
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:MARY
Other - Middle Name:
Other - Last Name:SATTERFIELD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1999 RUTLEDGE PIKE
Mailing Address - Street 2:
Mailing Address - City:BLAINE
Mailing Address - State:TN
Mailing Address - Zip Code:37709-2529
Mailing Address - Country:US
Mailing Address - Phone:865-498-6900
Mailing Address - Fax:865-498-6901
Practice Address - Street 1:1999 RUTLEDGE PIKE
Practice Address - Street 2:
Practice Address - City:BLAINE
Practice Address - State:TN
Practice Address - Zip Code:37709-2529
Practice Address - Country:US
Practice Address - Phone:865-498-6900
Practice Address - Fax:865-498-6901
Is Sole Proprietor?:No
Enumeration Date:2014-06-24
Last Update Date:2021-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2064225100000X
TNPT2064225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist