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NPI Code Detail

MEDICARE: TERAH DEAN COMPTON

MEDICARE:   TERAH DEAN COMPTON
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
1225100000XPhysical TherapistPT9304TN

General Provider Information

NPI Number : 1356696520
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERAH DEAN COMPTON
Provider Business Mailing Address
First Line : 1113 N CASTLE HEIGHTS AVE
Second Line : SUITE D
City : LEBANON
State : TN
Zip : 37087-5640
Country : US
Telephone Number : 615-965-9000
Fax Number : 615-965-9001
Provider Business Practice Location Address
First Line : 1113 N CASTLE HEIGHTS AVE
Second Line : SUITE D
City : LEBANON
State : TN
Zip : 37087-5640
Country : US
Telephone Number : 615-965-9000
Fax Number : 615-965-9001
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2012
Last Update Date : 07/24/2025

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Directions to “ TERAH DEAN COMPTON ” Practice Location

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