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1780718627

NPI Code Detail

MEDICARE: MISS MANDY CAY HESSELTINE PHYSICAL THERAPIST

MEDICARE: MISS MANDY CAY HESSELTINE PHYSICAL THERAPIST

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	CP031303T	TN
2	225100000X	Physical Therapist	CP030292T	MS
3	225100000X	Physical Therapist	CP043874T	AL
4	225100000X	Physical Therapist	CP026791T	GA
5	225100000X	Physical Therapist	1173443	TX
6	225100000X	Physical Therapist	CP031303T	VA
7	225100000X	Physical Therapist	CP030102T	SC
8	225100000X	Physical Therapist	CP030101T	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	8T8157	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1780718627
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS MANDY CAY HESSELTINE PHYSICAL THERAPIST

Provider Business Mailing Address
First Line	:	1200 CORPORATE DR STE 400
Second Line	:
City	:	HOOVER
State	:	AL
Zip	:	35242-5424
Country	:	US
Telephone Number	:	866-518-0283
Fax Number	:

Provider Business Practice Location Address
First Line	:	16139 LANCASTER HWY STE 140
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28277-2976
Country	:	US
Telephone Number	:	704-542-2492
Fax Number	:

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

Provider Enumeration Date	:	03/15/2007
Last Update Date	:	04/25/2025

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Directions to “ MISS MANDY CAY HESSELTINE PHYSICAL THERAPIST” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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