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NPI Code Detail

MEDICARE: MRS. MERAZON SIA P.T.

MEDICARE: MRS. MERAZON SIA P.T.
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 Therapist3300TN

General Provider Information

NPI Number : 1285736025
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MERAZON SIA P.T.
Provider Business Mailing Address
First Line : 3614 W ANDREW JOHNSON HWY
Second Line :
City : MORRISTOWN
State : TN
Zip : 37814-3602
Country : US
Telephone Number : 423-586-9495
Fax Number : 423-586-9495
Provider Business Practice Location Address
First Line : 3614 W ANDREW JOHNSON HWY
Second Line :
City : MORRISTOWN
State : TN
Zip : 37814-3602
Country : US
Telephone Number : 423-586-9495
Fax Number : 423-586-9549
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2006
Last Update Date : 05/09/2025

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Directions to “ MRS. MERAZON SIA P.T.” Practice Location

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