Healthcare Provider Details

I. General information

NPI: 1558384982
Provider Name (Legal Business Name): ALL ACCESS MOBILITY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 12/04/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 S WASHINGTON ST
TULLAHOMA TN
37388-4532
US

IV. Provider business mailing address

600 S WASHINGTON ST
TULLAHOMA TN
37388-4532
US

V. Phone/Fax

Practice location:
  • Phone: 931-454-0055
  • Fax: 931-454-0052
Mailing address:
  • Phone: 931-454-0055
  • Fax: 931-454-0052

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number StateTN

VIII. Authorized Official

Name: MELISSA LUTTRELL
Title or Position: OWNER/OFFICE MANAGER
Credential:
Phone: 931-728-5384