MEDICARE: DR. ALEXANDER HENDERSON 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	2251X0800X	Orthopedic Physical Therapist		MA
2	2251X0800X	Orthopedic Physical Therapist	15114	TN

General Provider Information

NPI Number	:	1255921441
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEXANDER HENDERSON DPT

Provider Business Mailing Address
First Line	:	3610 GALLATIN PIKE
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37216-2606
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3610 GALLATIN PIKE
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37216-2606
Country	:	US
Telephone Number	:	615-227-3431
Fax Number	:

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

Provider Enumeration Date	:	01/21/2021
Last Update Date	:	06/30/2025

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