MEDICARE: MRS. CATHERINE ELIZABETH LANGLEY DPT

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	225100000X	Physical Therapist	7659	TN

General Provider Information

NPI Number	:	1154433027
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CATHERINE ELIZABETH LANGLEY DPT

Provider Business Mailing Address
First Line	:	2894 IROQUOIS DR
Second Line	:
City	:	THOMPSONS STATION
State	:	TN
Zip	:	37179-5005
Country	:	US
Telephone Number	:	615-794-7812
Fax Number	:

Provider Business Practice Location Address
First Line	:	4909 NOLENSVILLE PIKE
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37211-5411
Country	:	US
Telephone Number	:	615-333-9828
Fax Number	:

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

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	07/08/2007

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