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NPI Code Detail

MEDICARE: LESLIE NELSON DPT

MEDICARE: LESLIE NELSON 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 Therapist9962TN

General Provider Information

NPI Number : 1790184422
Entity Type Code : Individual
Provider Name (Legal Business Name) : LESLIE NELSON DPT
Provider Business Mailing Address
First Line : 2400 PATTERSON ST STE 100
Second Line :
City : NASHVILLE
State : TN
Zip : 37203-2385
Country : US
Telephone Number : 615-342-0038
Fax Number : 615-324-1795
Provider Business Practice Location Address
First Line : 2400 PATTERSON ST STE 100
Second Line :
City : NASHVILLE
State : TN
Zip : 37203-2385
Country : US
Telephone Number : 615-342-0038
Fax Number : 615-342-1795
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2014
Last Update Date : 01/26/2022

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Directions to “ LESLIE NELSON DPT” Practice Location

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