MEDICARE: KRISTEN GLANCEY P.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	9502	TN

General Provider Information

NPI Number	:	1063661106
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTEN GLANCEY P.T.

Provider Business Mailing Address
First Line	:	800 CRESCENT CENTRE DR STE 600
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37067-7286
Country	:	US
Telephone Number	:	615-373-1350
Fax Number	:	615-221-9054

Provider Business Practice Location Address
First Line	:	7550 WOLF RIVER BLVD STE 101
Second Line	:
City	:	GERMANTOWN
State	:	TN
Zip	:	38138-1779
Country	:	US
Telephone Number	:	901-756-4818
Fax Number	:	901-756-4819

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/12/2008
Last Update Date	:	03/17/2018

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Directions to “ KRISTEN GLANCEY P.T.” Practice Location

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