MEDICARE: MRS. LINDSAY MCNEAL ISON MS, 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
1	225100000X	Physical Therapist	6408	TN

General Provider Information

NPI Number	:	1174522718
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LINDSAY MCNEAL ISON MS, PT

Provider Business Mailing Address
First Line	:	1502 PARIS AVE
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37212-5931
Country	:	US
Telephone Number	:	615-383-5398
Fax Number	:

Provider Business Practice Location Address
First Line	:	1195 OLD HICKORY BLVD
Second Line	:	SUITE 100
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-4239
Country	:	US
Telephone Number	:	615-377-8773
Fax Number	:	615-377-8775

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

Provider Enumeration Date	:	07/16/2005
Last Update Date	:	07/08/2007

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