MEDICARE: BRYANT EDWARD HALL PT

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	7601	TN

General Provider Information

NPI Number	:	1457467201
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRYANT EDWARD HALL PT

Provider Business Mailing Address
First Line	:	PO BOX 681478
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37068-1478
Country	:	US
Telephone Number	:	866-800-9147
Fax Number	:	615-591-6590

Provider Business Practice Location Address
First Line	:	2339 HILLSBORO RD
Second Line	:	SUITE 101
City	:	FRANKLIN
State	:	TN
Zip	:	37069-6225
Country	:	US
Telephone Number	:	615-261-0245
Fax Number	:	615-261-0255

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

Provider Enumeration Date	:	08/22/2006
Last Update Date	:	07/08/2007

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Directions to “ BRYANT EDWARD HALL PT” Practice Location

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