MEDICARE: AMBER T. COLE

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

General Provider Information

NPI Number	:	1417284837
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMBER T. COLE

Provider Business Mailing Address
First Line	:	12370 STRONG HEART TRL
Second Line	:	SUITE 100
City	:	ARLINGTON
State	:	TN
Zip	:	38002-4063
Country	:	US
Telephone Number	:	901-482-3997
Fax Number	:	888-972-6816

Provider Business Practice Location Address
First Line	:	12370 STRONG HEART TRL
Second Line	:	SUITE 100
City	:	ARLINGTON
State	:	TN
Zip	:	38002-4063
Country	:	US
Telephone Number	:	901-482-3997
Fax Number	:	888-972-6816

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

Provider Enumeration Date	:	11/05/2009
Last Update Date	:	05/06/2015

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