MEDICARE: MARCOS FRANCO 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	2251X0800X	Orthopedic Physical Therapist	1960	TN

General Provider Information

NPI Number	:	1922245661
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARCOS FRANCO PT

Provider Business Mailing Address
First Line	:	258 E MAIN ST
Second Line	:
City	:	GALLATIN
State	:	TN
Zip	:	37066-2961
Country	:	US
Telephone Number	:	615-452-9686
Fax Number	:	615-452-9652

Provider Business Practice Location Address
First Line	:	705 S BROADWAY ST
Second Line	:	STE B
City	:	PORTLAND
State	:	TN
Zip	:	37148-1628
Country	:	US
Telephone Number	:	615-325-9007
Fax Number	:	615-325-5794

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

Provider Enumeration Date	:	01/16/2009
Last Update Date	:	02/29/2016

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