Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mary Helen Fuqua, CTRS

Individual provider Recreation Therapist · NPI 1124632831

Mary Helen Fuqua, CTRS is a Recreation Therapist in Johnson City, Tennessee. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

809 Lamont St
Johnson City, TN 37604-5453
Phone: (423) 926-1171
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Recreation Therapist (primary) Taxonomy 225800000X

Record details

NPI number1124632831
Entity typeIndividual (Type 1)
GenderFemale
Credentials CTRS
Sole proprietorNo
NPI enumeratedSeptember 1, 2020
Last updated in NPPESSeptember 1, 2020
Certification dateSeptember 1, 2020