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Stephen Lake, MPT
NPI 1689620106 · on the registry since 2006
Practice
- Address
- 4957 Swinyar Dr Ste 103
Ooltewah, TN 37363 - Phone
- (423) 664-0800
- Fax
- (423) 664-0801
- Organisation at this address
- Agilitas Usa, Inc
David H. Otis, D.D.S.
The Kennedy Clinic Pllc
Haag Foot And Ankle Pllc
Cedar Valley Dental Arts, PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 14
Additional practice sites
- 1736 Gunbarrel Rd Ste B, Chattanooga, TN
- 1736 Gunbarrel Rd Ste B, Chattanooga, TN
Registry record
- Primary taxonomy
- Physical Therapist
225100000X
- Also registered as
- Physical Therapist
- Licence states on file
- TN, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-10-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee