MEDICARE: MARIA A BOLTON PT

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	PT0000004059	TN

General Provider Information

NPI Number	:	1881978914
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA A BOLTON PT

Provider Business Mailing Address
First Line	:	8234 HIGHWAY 100
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37221-4043
Country	:	US
Telephone Number	:	615-790-8047
Fax Number	:	615-288-0933

Provider Business Practice Location Address
First Line	:	8234 HIGHWAY 100
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37221-4043
Country	:	US
Telephone Number	:	615-490-8047
Fax Number	:	615-288-0933

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

Provider Enumeration Date	:	10/07/2011
Last Update Date	:	07/10/2024

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Directions to “ MARIA A BOLTON PT” Practice Location

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