Healthcare Provider Details

I. General information

NPI: 1588571962
Provider Name (Legal Business Name): MARIEM AZER PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

GATEWAY VILLAGE, 820 N THOMPSON LN STE 1H
MURFREESBORO TN
37129
US

IV. Provider business mailing address

4900 HICKORY WOODS E
ANTIOCH TN
37013-5612
US

V. Phone/Fax

Practice location:
  • Phone: 615-758-1027
  • Fax:
Mailing address:
  • Phone: 615-609-3598
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number17179
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: