Provider Demographics
NPI:1447956941
Name:PYLE, MARGIE ANNE (PTA)
Entity type:Individual
Prefix:
First Name:MARGIE
Middle Name:ANNE
Last Name:PYLE
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:MARGIE
Other - Middle Name:
Other - Last Name:FORT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2019 BINNS MILL RD
Mailing Address - Street 2:
Mailing Address - City:HERNDON
Mailing Address - State:KY
Mailing Address - Zip Code:42236-8262
Mailing Address - Country:US
Mailing Address - Phone:270-839-7856
Mailing Address - Fax:
Practice Address - Street 1:537 SPRING ST
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:TN
Practice Address - Zip Code:37058-3232
Practice Address - Country:US
Practice Address - Phone:931-232-6902
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-06
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN8094225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant