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NPI Code Detail

MEDICARE: MICHELE ELLIOTT

MEDICARE: MICHELE ELLIOTT
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
1225200000XPhysical Therapy Assistant6207TN

General Provider Information

NPI Number : 1487002358
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELE ELLIOTT
Provider Business Mailing Address
First Line : 405 CLARKSTON DR
Second Line :
City : SMYRNA
State : TN
Zip : 37167-4155
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8353 HIGHWAY 100
Second Line :
City : NASHVILLE
State : TN
Zip : 37221-4009
Country : US
Telephone Number : 615-973-0832
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2016
Last Update Date : 07/14/2016

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Directions to “ MICHELE ELLIOTT ” Practice Location

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