Most Relevant Information
Provider Data
| NPI Number: | 1003242470 |
| Provider Name: | SCHANDA FUGATE |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 4666 |
Most Important Dates
| Enumeration Date: | 09/17/2013 |
| Last Updated: | 09/18/2013 |
Provider Practice Location
136 DAVIS LN
LA FOLLETTE
TN
377663118
Practice Location Phone/Fax
| Phone: | 4235620760 |
| Fax: |
Provider Mailing Location
829 W MOUNTCASTLE ST
JEFFERSON CITY
TN
377601829
Provider Mailing Phone/Fax
| Phone: | 4232776615 |
| Fax: |