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NPI Code Detail

MEDICARE: UNIVERSITY OF TENNESSEE

MEDICARE: UNIVERSITY OF TENNESSEE
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 Therapist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
13133295OTHERTNBC/BS PROVIDER NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1386735298
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNIVERSITY OF TENNESSEE
Provider Business Mailing Address
First Line : 920 MADISON AVE
Second Line : SUITE 415
City : MEMPHIS
State : TN
Zip : 38163-2243
Country : US
Telephone Number : 901-448-6438
Fax Number : 901-448-1411
Provider Business Practice Location Address
First Line : 930 MADISON AVE
Second Line : SUITE EC013
City : MEMPHIS
State : TN
Zip : 38163-2243
Country : US
Telephone Number : 901-448-6438
Fax Number : 901-448-1411
Authorized Official
Title or Position : ASSOCIATE PROFESSOR AND CHAIRMAN
Name : DR. CAROL COUNTS LIKENS
Credential : PT, PHD, MBA
Telephone Number : 901-448-5047
Provider Enumeration Date : 09/27/2006
Last Update Date : 11/30/2016

Similar Medicare Providers

1306847918 — DR. CAMEILA D'SILVA JOHNS MD
Practice Location Address:
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MEMPHIS, TN
38163-2243
Practice Phone: 901-448-6300
Practice Fax: 901-448-6979
1699856336 — DR. BARBARA H. CONNOLLY P.T., ED.D., FAPTA
Practice Location Address:
930 MADISON AVE , SUITE 646
MEMPHIS, TN
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Practice Fax: 901-448-1411
1154403244 — JUDY KAY CLIFFT PT
Practice Location Address:
930 MADISON AVE , ROOM 650
MEMPHIS, TN
38163-2243
Practice Phone: 901-448-5888
Practice Fax: 901-448-1411
1346322922 — DR. RICHARD KASSER PT
Practice Location Address:
930 MADISON AVE , ROOM 658
MEMPHIS, TN
38163-2243
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Practice Fax: 901-448-1411
1912089509 — RUTH MULVANY PT
Practice Location Address:
930 MADISON AVE , ROOM 638
MEMPHIS, TN
38163-2243
Practice Phone: 901-448-5888
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1164504775 — DR. AUDREY ZUCKER-LEVIN PT
Practice Location Address:
930 MADISON AVE , ROOM 636
MEMPHIS, TN
38163-2243
Practice Phone: 901-448-5888
Practice Fax: 901-448-1411

Directions to “UNIVERSITY OF TENNESSEE ” Practice Location

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