MEDICARE: NAMISHA PATEL 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	12761	TN

General Provider Information

NPI Number	:	1538793872
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAMISHA PATEL PT

Provider Business Mailing Address
First Line	:	1023 N HIGHLAND AVE
Second Line	:
City	:	MURFREESBORO
State	:	TN
Zip	:	37130-2450
Country	:	US
Telephone Number	:	615-624-8476
Fax Number	:	615-624-8478

Provider Business Practice Location Address
First Line	:	392 HARDING PL STE 103
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37211-9601
Country	:	US
Telephone Number	:	615-624-8476
Fax Number	:	615-624-8478

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

Provider Enumeration Date	:	02/25/2020
Last Update Date	:	02/25/2020

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Directions to “ NAMISHA PATEL PT” Practice Location

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