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NPI Code Detail

MEDICARE: MRS. NICHOLE LEIGH EDWARDS PT

MEDICARE: MRS. NICHOLE LEIGH EDWARDS 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
1225100000XPhysical TherapistPT0000006574TN

General Provider Information

NPI Number : 1558431411
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. NICHOLE LEIGH EDWARDS PT
Provider Business Mailing Address
First Line : 10595 MISSOULA WAY
Second Line :
City : KNOXVILLE
State : TN
Zip : 37932
Country : US
Telephone Number : 615-497-4893
Fax Number :
Provider Business Practice Location Address
First Line : 3056 MILES JOHNSON PKWY
Second Line :
City : SPRING HILL
State : TN
Zip : 37174-4564
Country : US
Telephone Number : 877-407-3422
Fax Number : 877-407-4329
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2006
Last Update Date : 04/26/2025

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