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NPI Code Detail

MEDICARE: GAGER THERAPY SERVICES

MEDICARE: GAGER THERAPY SERVICES
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 Therapist

General Provider Information

NPI Number : 1669600144
Entity Type Code : Organization
Provider Name (Legal Business Name) : GAGER THERAPY SERVICES
Provider Business Mailing Address
First Line : 3525 KEITH ST NW STE M
Second Line :
City : CLEVELAND
State : TN
Zip : 37312-4354
Country : US
Telephone Number : 423-479-7800
Fax Number : 423-479-2849
Provider Business Practice Location Address
First Line : 3525 KEITH ST NW STE M
Second Line :
City : CLEVELAND
State : TN
Zip : 37312-4354
Country : US
Telephone Number : 423-479-7800
Fax Number : 423-479-2849
Authorized Official
Title or Position : OFFICE MANAGER
Name : MRS. JEAN E GAGER
Credential :
Telephone Number : 423-479-7800
Provider Enumeration Date : 06/23/2009
Last Update Date : 08/04/2009

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Directions to “GAGER THERAPY SERVICES ” Practice Location

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