MEDICARE: DR. STEPHANIE WALTERS ADAMSON 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	225100000X	Physical Therapist	8146	TN

General Provider Information

NPI Number	:	1326204918
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHANIE WALTERS ADAMSON DPT

Provider Business Mailing Address
First Line	:	6655 QUINCE RD
Second Line	:	SUITE 101
City	:	MEMPHIS
State	:	TN
Zip	:	38119-8031
Country	:	US
Telephone Number	:	901-755-9988
Fax Number	:	901-755-2233

Provider Business Practice Location Address
First Line	:	6655 QUINCE RD
Second Line	:	SUITE 101
City	:	MEMPHIS
State	:	TN
Zip	:	38119-8031
Country	:	US
Telephone Number	:	901-755-9988
Fax Number	:	901-755-2233

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

Provider Enumeration Date	:	08/03/2008
Last Update Date	:	08/03/2008

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