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NPI Code Detail

MEDICARE: LISA D FELTNER DPT

MEDICARE: LISA D FELTNER DPT
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
1225100000XPhysical Therapist9625TN
2225100000XPhysical TherapistP15751NC
3225100000XPhysical Therapist2305207691VA
4225100000XPhysical Therapist041491-1NY

General Provider Information

NPI Number : 1639417967
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA D FELTNER DPT
Provider Business Mailing Address
First Line : 2001 MALLORY LN
Second Line : SUITE 210
City : FRANKLIN
State : TN
Zip : 37067-8233
Country : US
Telephone Number : 615-373-1350
Fax Number : 615-221-9054
Provider Business Practice Location Address
First Line : 2197 MADISON ST
Second Line : SUITE 106
City : CLARKSVILLE
State : TN
Zip : 37043-5284
Country : US
Telephone Number : 931-503-1700
Fax Number : 615-221-9054
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2013
Last Update Date : 07/06/2017

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