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NPI Code Detail

MEDICARE: SHIRLEY CARDENAS REYES-PEREZ PT

MEDICARE: SHIRLEY CARDENAS REYES-PEREZ PT
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 Therapist4286TN

General Provider Information

NPI Number : 1689988396
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHIRLEY CARDENAS REYES-PEREZ PT
Provider Business Mailing Address
First Line : 8823 PRODUCTION LN
Second Line :
City : OOLTEWAH
State : TN
Zip : 37363-6511
Country : US
Telephone Number : 423-238-7217
Fax Number : 423-238-3473
Provider Business Practice Location Address
First Line : 311 CONGRESS PKWY N STE 800
Second Line :
City : ATHENS
State : TN
Zip : 37303-1697
Country : US
Telephone Number : 423-744-0890
Fax Number : 423-744-0849
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2010
Last Update Date : 10/05/2023

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Directions to “ SHIRLEY CARDENAS REYES-PEREZ PT” Practice Location

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