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NPI Code Detail

MEDICARE: MRS. CHANDELLE LANIER-HACKETT PT

MEDICARE: MRS. CHANDELLE LANIER-HACKETT 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
1225100000XPhysical TherapistPT 6531TN

General Provider Information

NPI Number : 1255354205
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CHANDELLE LANIER-HACKETT PT
Provider Business Mailing Address
First Line : 1131-B1 N CASTLE HEIGHTS AVENUE
Second Line :
City : LEBANON
State : TN
Zip : 37087-5640
Country : US
Telephone Number : 615-965-9000
Fax Number : 615-965-9001
Provider Business Practice Location Address
First Line : 1131-B1 N CASTLE HEIGHTS AVENUE
Second Line :
City : LEBANON
State : TN
Zip : 37087-5640
Country : US
Telephone Number : 615-965-9000
Fax Number : 615-965-9001
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2006
Last Update Date : 10/22/2010

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Directions to “ MRS. CHANDELLE LANIER-HACKETT PT” Practice Location

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