Healthcare Provider Details

I. General information

NPI: 1801048491
Provider Name (Legal Business Name): MEGHAN E. GRAMMER DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEGHAN E. ALEXANDER P.T.

II. Dates (important events)

Enumeration Date: 10/15/2008
Last Update Date: 08/27/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

545 N MOUNT JULIET RD STE 1101
MOUNT JULIET TN
37122
US

IV. Provider business mailing address

1200 CORPORATE DR STE 400
BIRMINGHAM AL
35242-5424
US

V. Phone/Fax

Practice location:
  • Phone: 615-553-4645
  • Fax: 615-553-4794
Mailing address:
  • Phone: 423-238-7217
  • Fax: 423-238-3473

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number7824
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: