MEDICARE: JAMES WILLIAM MARSHALL 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		TN

General Provider Information

NPI Number	:	1568395275
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES WILLIAM MARSHALL DPT

Provider Business Mailing Address
First Line	:	10078 SUNNY LN
Second Line	:
City	:	OOLTEWAH
State	:	TN
Zip	:	37363-8535
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2399 PARKER ST NE STE C3
Second Line	:
City	:	CLEVELAND
State	:	TN
Zip	:	37311-3928
Country	:	US
Telephone Number	:	423-697-8844
Fax Number	:

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

Provider Enumeration Date	:	06/04/2026
Last Update Date	:	06/04/2026

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