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NPI Code Detail

MEDICARE: MRS. BLISS BARBY L. MAHINAY PT

MEDICARE:  MRS. BLISS BARBY L. MAHINAY  PT
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
1313M00000XNursing Facility/Intermediate Care Facility0000003626TN

General Provider Information

NPI Number : 1073737417
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BLISS BARBY L. MAHINAY PT
Provider Business Mailing Address
First Line : 1400 TRAIL HILL CV
Second Line :
City : CORDOVA
State : TN
Zip : 38016-6679
Country : US
Telephone Number : 901-737-0545
Fax Number :
Provider Business Practice Location Address
First Line : 2805 CHARLES BRYAN RD
Second Line :
City : BARTLETT
State : TN
Zip : 38134-4756
Country : US
Telephone Number : 901-386-3211
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. BLISS BARBY L. MAHINAY PT” Practice Location

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