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NPI Code Detail

MEDICARE: RADIX WELLNESS, LLC

MEDICARE: RADIX WELLNESS, LLC
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
1103TC1900XCounseling Psychologist
2133N00000XNutritionist
3133V00000XRegistered Dietitian
4174N00000XLactation Consultant (Non-RN)
5225100000XPhysical Therapist
6225700000XMassage Therapist
7363L00000XNurse Practitioner
8363LW0102XWomen's Health Nurse Practitioner
9171100000XAcupuncturist

General Provider Information

NPI Number : 1568008795
Entity Type Code : Organization
Provider Name (Legal Business Name) : RADIX WELLNESS, LLC
Provider Business Mailing Address
First Line : 1314 PEABODY AVE
Second Line :
City : MEMPHIS
State : TN
Zip : 38104-3500
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1314 PEABODY AVE
Second Line :
City : MEMPHIS
State : TN
Zip : 38104-3500
Country : US
Telephone Number : 901-321-5803
Fax Number :
Authorized Official
Title or Position : PARTNER
Name : MRS. MELISSA L PADGETT
Credential :
Telephone Number : 901-828-8019
Provider Enumeration Date : 11/22/2019
Last Update Date : 11/22/2019

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Directions to “RADIX WELLNESS, LLC ” Practice Location

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