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NPI Code Detail

MEDICARE: JOELLE M HERNANDEZ DPT

MEDICARE:   JOELLE M HERNANDEZ  DPT
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
1225100000XPhysical Therapist8121TN

General Provider Information

NPI Number : 1548412513
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOELLE M HERNANDEZ DPT
Provider Business Mailing Address
First Line : 1477 S HARPETH RD
Second Line :
City : KINGSTON SPRINGS
State : TN
Zip : 37082-8141
Country : US
Telephone Number : 615-428-4388
Fax Number :
Provider Business Practice Location Address
First Line : 8207 HIGHWAY 100
Second Line :
City : NASHVILLE
State : TN
Zip : 37221-4007
Country : US
Telephone Number : 615-646-3334
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2008
Last Update Date : 12/23/2020

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Directions to “ JOELLE M HERNANDEZ DPT” Practice Location

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