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NPI Code Detail

MEDICARE: KASKA RAE HILL MSPT

MEDICARE: KASKA RAE HILL MSPT
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
1225100000XPhysical Therapist6996

General Provider Information

NPI Number : 1033462650
Entity Type Code : Individual
Provider Name (Legal Business Name) : KASKA RAE HILL MSPT
Provider Business Mailing Address
First Line : 1900 GRAYBAR LN
Second Line :
City : NASHVILLE
State : TN
Zip : 37215-2110
Country : US
Telephone Number : 615-690-3091
Fax Number : 615-690-3095
Provider Business Practice Location Address
First Line : 1900 GRAYBAR LN
Second Line :
City : NASHVILLE
State : TN
Zip : 37215-2110
Country : US
Telephone Number : 615-690-3091
Fax Number : 615-690-3095
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2012
Last Update Date : 10/19/2012

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Directions to “ KASKA RAE HILL MSPT” Practice Location

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