Healthcare Provider Details

I. General information

NPI: 1730056110
Provider Name (Legal Business Name): MEMPHIS THOROUGHBREDS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/21/2025
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7126 FERNBANK LN
MEMPHIS TN
38125-4168
US

IV. Provider business mailing address

7126 FERNBANK LN
MEMPHIS TN
38125-4168
US

V. Phone/Fax

Practice location:
  • Phone: 901-314-2874
  • Fax:
Mailing address:
  • Phone: 901-314-2874
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080S0010X
TaxonomyPediatric Sports Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State

VIII. Authorized Official

Name: TOMMY WASHINGTON
Title or Position: PRESIDENT
Credential: B.S., USATF I, II
Phone: 901-314-2874