Healthcare Provider Details

I. General information

NPI: 1285663716
Provider Name (Legal Business Name): MELANIE S. HINTEMEYER RPT/LPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

818 E CLARK BLVD
MURFREESBORO TN
37130-2324
US

IV. Provider business mailing address

818 E CLARK BLVD
MURFREESBORO TN
37130-2324
US

V. Phone/Fax

Practice location:
  • Phone: 615-895-2800
  • Fax: 615-895-2860
Mailing address:
  • Phone: 615-895-2800
  • Fax: 615-895-2860

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081S0010X
TaxonomySports Medicine (Physical Medicine & Rehabilitation) Physician
License Number3301
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: