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NPI Code Detail

MEDICARE: BENJAMIN MCCHESNEY DPT

MEDICARE: BENJAMIN MCCHESNEY 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
1225100000XPhysical Therapist9588TN

General Provider Information

NPI Number : 1245678572
Entity Type Code : Individual
Provider Name (Legal Business Name) : BENJAMIN MCCHESNEY DPT
Provider Business Mailing Address
First Line : 800 CRESCENT CENTRE DR STE 300
Second Line :
City : FRANKLIN
State : TN
Zip : 37067-7285
Country : US
Telephone Number : 615-373-1350
Fax Number : 615-221-9054
Provider Business Practice Location Address
First Line : 3760 OCOEE PL NW
Second Line : SUITE 101
City : CLEVELAND
State : TN
Zip : 37312-5635
Country : US
Telephone Number : 423-336-3795
Fax Number : 423-336-3796
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2013
Last Update Date : 10/03/2019

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