MEDICARE: DR. JULIANNE SUMMER BEGLEY PT, 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
1	225100000X	Physical Therapist	10109	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	10109	OTHER	TN	PHYSICAL THERAPIST LICENSE NUMBER

General Provider Information

NPI Number	:	1558898056
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JULIANNE SUMMER BEGLEY PT, DPT

Provider Business Mailing Address
First Line	:	2988 MAIN ST
Second Line	:
City	:	SNEEDVILLE
State	:	TN
Zip	:	37869-3058
Country	:	US
Telephone Number	:	423-300-8760
Fax Number	:

Provider Business Practice Location Address
First Line	:	401 SCENIC DR
Second Line	:
City	:	ROGERSVILLE
State	:	TN
Zip	:	37857-2452
Country	:	US
Telephone Number	:	423-921-7220
Fax Number	:

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

Provider Enumeration Date	:	05/15/2017
Last Update Date	:	06/16/2018

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