DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: BRYANNA RENEE MOLTZ MAT LAT ATC

MEDICARE: BRYANNA RENEE MOLTZ MAT LAT ATC
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
12081S0010XSports Medicine (Physical Medicine & Rehabilitation) Physician2544TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326616848
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRYANNA RENEE MOLTZ MAT LAT ATC
Provider Business Mailing Address
First Line : 1800 SABLE PL APT 2
Second Line :
City : MEMPHIS
State : TN
Zip : 38134-6559
Country : US
Telephone Number : 870-941-9402
Fax Number :
Provider Business Practice Location Address
First Line : 650 E PARKWAY S
Second Line :
City : MEMPHIS
State : TN
Zip : 38104-5568
Country : US
Telephone Number : 870-941-9402
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2021
Last Update Date : 06/11/2021

Similar Medicare Providers

1285367797 — MR. WILLIE LEE DODSON JR. PA
Practice Location Address:
650 E PARKWAY S
MEMPHIS, TN
38104-5568
Practice Phone: 901-321-3000
Practice Fax:
1801528658 — HINALBEN KUNAL PATEL
Practice Location Address:
650 E PARKWAY S
MEMPHIS, TN
38104-5568
Practice Phone: 901-321-3000
Practice Fax:
1003549452 — TYLER CUNNINGHAM PA
Practice Location Address:
650 E PARKWAY S
MEMPHIS, TN
38104-5568
Practice Phone: 901-321-4122
Practice Fax:
1649904327 — MICHAEL DARNELL HARRIS JR.
Practice Location Address:
650 E PARKWAY S
MEMPHIS, TN
38104-5568
Practice Phone: 901-321-3388
Practice Fax:
1508591140 — JIE Z MELTESEN
Practice Location Address:
650 E PARKWAY S
MEMPHIS, TN
38104-5568
Practice Phone: 901-321-3388
Practice Fax:
1396471959 — EMILY ELISSA MILLER PA
Practice Location Address:
650 E PARKWAY S
MEMPHIS, TN
38104-5568
Practice Phone: 901-321-3000
Practice Fax:

Directions to “ BRYANNA RENEE MOLTZ MAT LAT ATC” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.