MEDICARE: MS. ELLEN LOFTON CURRY P.T.

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	0000000793	TN

General Provider Information

NPI Number	:	1578818175
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ELLEN LOFTON CURRY P.T.

Provider Business Mailing Address
First Line	:	1565 WHITMAR PL E
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38120-4213
Country	:	US
Telephone Number	:	901-830-1770
Fax Number	:

Provider Business Practice Location Address
First Line	:	1565 WHITMAR PL E
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38120-4213
Country	:	US
Telephone Number	:	901-830-1770
Fax Number	:

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

Provider Enumeration Date	:	07/19/2012
Last Update Date	:	07/19/2012

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