MEDICARE: RICHARD MUTH PT, SCS, CSCS

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	13347	TN

Other Identifiers

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

General Provider Information

NPI Number	:	1518981521
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD MUTH PT, SCS, CSCS

Provider Business Mailing Address
First Line	:	PO BOX 681478
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37068-1478
Country	:	US
Telephone Number	:	615-591-6590
Fax Number	:	615-591-6601

Provider Business Practice Location Address
First Line	:	234 HUTTON PL STE 120
Second Line	:
City	:	ASHLAND CITY
State	:	TN
Zip	:	37015-4931
Country	:	US
Telephone Number	:	615-792-5733
Fax Number	:	615-792-5734

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

Provider Enumeration Date	:	07/26/2006
Last Update Date	:	05/20/2021

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