MEDICARE: CHANDNI K VYAS

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	225X00000X	Occupational Therapist	7447	TN

General Provider Information

NPI Number	:	1538870399
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHANDNI K VYAS

Provider Business Mailing Address
First Line	:	1200 CORPORATE DR STE 400
Second Line	:
City	:	HOOVER
State	:	AL
Zip	:	35242-5424
Country	:	US
Telephone Number	:	423-238-7217
Fax Number	:

Provider Business Practice Location Address
First Line	:	7101 RAMSEY WAY
Second Line	:
City	:	DICKSON
State	:	TN
Zip	:	37055-1586
Country	:	US
Telephone Number	:	615-441-2707
Fax Number	:	615-446-6732

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

Provider Enumeration Date	:	12/12/2022
Last Update Date	:	12/12/2022

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Directions to “ CHANDNI K VYAS ” Practice Location

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