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NPI Code Detail

MEDICARE: ABRIELLE LEIGH LANGLEY DPT

MEDICARE: ABRIELLE LEIGH LANGLEY 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 Therapist16365TN

General Provider Information

NPI Number : 1699669051
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABRIELLE LEIGH LANGLEY DPT
Provider Business Mailing Address
First Line : 625 KENMOOR AVE SE STE 100
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49546-2395
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1700 BROAD ST STE 120
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37408-1834
Country : US
Telephone Number : 423-254-5461
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2025
Last Update Date : 07/17/2025

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Directions to “ ABRIELLE LEIGH LANGLEY DPT” Practice Location

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