Healthcare Provider Details

I. General information

NPI: 1457708265
Provider Name (Legal Business Name): ALIGN THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2016
Last Update Date: 05/22/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

544 CATAMOUNT ST
COLLIERVILLE TN
38017-4070
US

IV. Provider business mailing address

544 CATAMOUNT ST
COLLIERVILLE TN
38017-4070
US

V. Phone/Fax

Practice location:
  • Phone: 901-270-9393
  • Fax:
Mailing address:
  • Phone: 901-270-9393
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number7843
License Number StateTN

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MS. ADRIENNE MICHELLE JONES
Title or Position: OWNER/CEO
Credential: P.T.
Phone: 901-270-9393