Healthcare Provider Details

I. General information

NPI: 1265417901
Provider Name (Legal Business Name): TENNESSEE THERAPY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

203 VILLAGE SQ
PULASKI TN
38478-2929
US

IV. Provider business mailing address

203 VILLAGE SQ
PULASKI TN
38478-2929
US

V. Phone/Fax

Practice location:
  • Phone: 931-424-5588
  • Fax: 931-424-5590
Mailing address:
  • Phone: 931-424-5588
  • Fax: 931-424-5590

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License NumberPT0000002474
License Number StateTN

VIII. Authorized Official

Name: DR. TIMOTHY SCOTT NEWTON
Title or Position: DOCTOR OF PHYSICAL THERAPY
Credential: PT, DPT
Phone: 931-424-5588