MEDICARE: WESLEY DAYLE ARMES PTA

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
1	225200000X	Physical Therapy Assistant	3227	TN

General Provider Information

NPI Number	:	1144417015
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WESLEY DAYLE ARMES PTA

Provider Business Mailing Address
First Line	:	333 RAINDROP LN
Second Line	:
City	:	HENDERSONVILLE
State	:	TN
Zip	:	37075-2423
Country	:	US
Telephone Number	:	615-557-3917
Fax Number	:

Provider Business Practice Location Address
First Line	:	202 E MTCS RD
Second Line	:
City	:	MURFREESBORO
State	:	TN
Zip	:	37129-1524
Country	:	US
Telephone Number	:	615-849-8748
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/25/2007
Last Update Date	:	09/25/2007

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