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NPI Code Detail

MEDICARE: ALEXIS WHITE

MEDICARE:   ALEXIS  WHITE
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
1225700000XMassage Therapist10597TN

General Provider Information

NPI Number : 1619829983
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXIS WHITE
Provider Business Mailing Address
First Line : 4515 POPLAR AVE
Second Line :
City : MEMPHIS
State : TN
Zip : 38117-7503
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4515 POPLAR AVE
Second Line :
City : MEMPHIS
State : TN
Zip : 38117-7503
Country : US
Telephone Number : 901-643-6388
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2026
Last Update Date : 02/10/2026

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Directions to “ ALEXIS WHITE ” Practice Location

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