MEDICARE: SAFE STEP WALK-IN TUB CO.

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	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	617222800	OTHER	TN	ACS PROVIDER NUMBER

General Provider Information

NPI Number	:	1457766644
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAFE STEP WALK-IN TUB CO.

Provider Business Mailing Address
First Line	:	1650 ELM HILL PIKE STE 5
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37210-3626
Country	:	US
Telephone Number	:	615-884-4761
Fax Number	:

Provider Business Practice Location Address
First Line	:	1650 ELM HILL PIKE STE 5
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37210-3626
Country	:	US
Telephone Number	:	615-884-4761
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	STUART HALL
Credential	:
Telephone Number	:	615-391-0001

Provider Enumeration Date	:	06/25/2014
Last Update Date	:	06/25/2014

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Directions to “SAFE STEP WALK-IN TUB CO. ” Practice Location

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