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NPI Code Detail

MEDICARE: SERENITY THERAPIES LLC

MEDICARE: SERENITY THERAPIES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2000XPhysical Therapy Clinic/Center7181TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1621340OTHERNAICS

General Provider Information

NPI Number : 1013318252
Entity Type Code : Organization
Provider Name (Legal Business Name) : SERENITY THERAPIES LLC
Provider Business Mailing Address
First Line : 236 ROBERT ROSE DR
Second Line :
City : MURFREESBORO
State : TN
Zip : 37129-6373
Country : US
Telephone Number : 615-995-8027
Fax Number : 615-962-9179
Provider Business Practice Location Address
First Line : 236 ROBERT ROSE DR
Second Line :
City : MURFREESBORO
State : TN
Zip : 37129-6373
Country : US
Telephone Number : 615-995-8027
Fax Number : 615-962-9179
Authorized Official
Title or Position : OWNER
Name : MR. MICHAEL MATTHEW BURROWS
Credential :
Telephone Number : 615-995-8027
Provider Enumeration Date : 09/08/2014
Last Update Date : 09/08/2014

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Directions to “SERENITY THERAPIES LLC ” Practice Location

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