MEDICARE: CARLEY MIDKIFF

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	16170	TN

General Provider Information

NPI Number	:	1952106718
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLEY MIDKIFF

Provider Business Mailing Address
First Line	:	1200 CORPORATE DR STE 400
Second Line	:
City	:	HOOVER
State	:	AL
Zip	:	35242-5424
Country	:	US
Telephone Number	:	423-497-0005
Fax Number	:

Provider Business Practice Location Address
First Line	:	1430 VOLUNTEER PKWY STE 6
Second Line	:
City	:	BRISTOL
State	:	TN
Zip	:	37620-6062
Country	:	US
Telephone Number	:	423-652-0265
Fax Number	:

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

Provider Enumeration Date	:	02/17/2025
Last Update Date	:	02/17/2025

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Directions to “ CARLEY MIDKIFF ” Practice Location

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