MEDICARE: MR. JODY LEE SWEARINGEN PT, MPT, STC

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	6608	TN

General Provider Information

NPI Number	:	1417144825
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JODY LEE SWEARINGEN PT, MPT, STC

Provider Business Mailing Address
First Line	:	393 NICHOL MILL LN STE LL10
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37067-8324
Country	:	US
Telephone Number	:	615-656-8907
Fax Number	:	615-656-8908

Provider Business Practice Location Address
First Line	:	393 NICHOL MILL LN STE LL10
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37067-8324
Country	:	US
Telephone Number	:	615-656-8907
Fax Number	:	615-656-8908

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

Provider Enumeration Date	:	09/29/2007
Last Update Date	:	10/18/2022

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Directions to “ MR. JODY LEE SWEARINGEN PT, MPT, STC” Practice Location

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