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NPI Code Detail

MEDICARE: MRS. LINDA A NETHERY PHYSICAL THERAPIST

MEDICARE: MRS. LINDA A NETHERY PHYSICAL THERAPIST
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 Therapist1576TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14090409OTHERTNPHYSICAL THERAPIST

General Provider Information

NPI Number : 1316945298
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LINDA A NETHERY PHYSICAL THERAPIST
Provider Business Mailing Address
First Line : PO BOX 288
Second Line :
City : MARTIN
State : TN
Zip : 38237-0288
Country : US
Telephone Number : 731-587-3422
Fax Number : 731-587-3424
Provider Business Practice Location Address
First Line : 104 OXFORD ST
Second Line :
City : MARTIN
State : TN
Zip : 38237-2428
Country : US
Telephone Number : 731-587-3422
Fax Number : 731-587-3424
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2005
Last Update Date : 07/08/2007

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1316945488 — MR. BRIAN WRAY SMITH PHYSICAL THERAPIST
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1841448099 — MRS. JENNIFER L DAVIS OTR
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104 OXFORD ST
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1801109855 — MR. ADAM K PULLIAM DPT
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1427452184 — MRS. JANIE WEST DPT
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Directions to “ MRS. LINDA A NETHERY PHYSICAL THERAPIST” Practice Location

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