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NPI Code Detail

MEDICARE: TERI GRIM

MEDICARE:   TERI  GRIM
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 Therapist1110138TX
2225100000XPhysical TherapistCP051584TTN

General Provider Information

NPI Number : 1588108963
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERI GRIM
Provider Business Mailing Address
First Line : 2100 EXETER RD STE 200
Second Line :
City : GERMANTOWN
State : TN
Zip : 38138-3966
Country : US
Telephone Number : 901-522-6440
Fax Number : 901-757-2507
Provider Business Practice Location Address
First Line : 2100 EXETER RD STE 200
Second Line :
City : GERMANTOWN
State : TN
Zip : 38138-3966
Country : US
Telephone Number : 901-522-6440
Fax Number : 901-757-2507
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2016
Last Update Date : 12/10/2025

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Directions to “ TERI GRIM ” Practice Location

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