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NPI Code Detail

MEDICARE: MR. ADAM K PULLIAM DPT

MEDICARE: MR. ADAM K PULLIAM 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 Therapist

General Provider Information

NPI Number : 1801109855
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ADAM K PULLIAM DPT
Provider Business Mailing Address
First Line : PO BOX 288
Second Line : 104 OXFORD STREET
City : MARTIN
State : TN
Zip : 38237-0288
Country : US
Telephone Number : 731-587-3422
Fax Number : 731-587-3424
Provider Business Practice Location Address
First Line : 104 OXFORD ST
Second Line :
City : MARTIN
State : TN
Zip : 38237-2428
Country : US
Telephone Number : 731-587-3422
Fax Number : 731-587-3424
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2010
Last Update Date : 07/20/2010

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Directions to “ MR. ADAM K PULLIAM DPT” Practice Location

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