MEDICARE: MR. MICHAEL L. SMITH LPT

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	4691	TN

General Provider Information

NPI Number	:	1700882933
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MICHAEL L. SMITH LPT

Provider Business Mailing Address
First Line	:	8110 CORDOVA RD
Second Line	:	STE 107
City	:	CORDOVA
State	:	TN
Zip	:	38016-0520
Country	:	US
Telephone Number	:	901-756-1650
Fax Number	:	901-756-1396

Provider Business Practice Location Address
First Line	:	1650 BONNIE LN
Second Line	:	STE 104
City	:	CORDOVA
State	:	TN
Zip	:	38016-0517
Country	:	US
Telephone Number	:	901-756-1650
Fax Number	:	901-756-1396

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

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	09/15/2008

Similar Medicare Providers

1629572268 — KYRSTYN NICHOLE MCNEILL NP
Practice Location Address:

1650 BONNIE LN STE 102
CORDOVA, TN
38016-0517

Practice Phone: 901-756-2424
Practice Fax: 901-756-7504

1568092567 — BRITNEY HATTAMER DC, MS
Practice Location Address:

1650 BONNIE LN STE 102
CORDOVA, TN
38016-0517

Practice Phone: 901-756-2424
Practice Fax:

1649992462 — DR. ALLYSON BLACK DPT
Practice Location Address:

1650 BONNIE LN STE 102
CORDOVA, TN
38016-0517

Practice Phone: 901-756-2424
Practice Fax:

1588419535 — DR. DALTON RAY GRANT DC
Practice Location Address:

1650 BONNIE LN STE 102
CORDOVA, TN
38016-0517

Practice Phone: 901-756-2424
Practice Fax:

1659804284 — FATIMA HASSAN M.D.
Practice Location Address:

7556 CRYSTAL LAKE DRIVE CORDOVA 38016 TN
MEMPHIS, TN
38163-0001

Practice Phone: 240-505-2102
Practice Fax:

1700403946 — EMORY ANN KLINDWORTH APRN
Practice Location Address:

8115 COUNTRY VILLAGE DR
CORDOVA, TN
38016-2030

Practice Phone: 901-752-2300
Practice Fax: 901-752-2348

Directions to “ MR. MICHAEL L. SMITH LPT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.