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NPI Code Detail

MEDICARE: MICHELLE T KILLEBREW PT

MEDICARE:   MICHELLE T KILLEBREW  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 TherapistPT0272MS

General Provider Information

NPI Number : 1811013923
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE T KILLEBREW PT
Provider Business Mailing Address
First Line : 800 CRESCENT CENTRE DR
Second Line : SUITE 600
City : FRANKLIN
State : TN
Zip : 37067-7269
Country : US
Telephone Number : 615-373-1350
Fax Number : 615-221-9054
Provider Business Practice Location Address
First Line : 1000 HIGHLAND COLONY PKWY
Second Line : SUITE 2002
City : RIDGELAND
State : MS
Zip : 39157-2073
Country : US
Telephone Number : 769-300-1101
Fax Number : 769-300-1102
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2007
Last Update Date : 12/27/2017

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Directions to “ MICHELLE T KILLEBREW PT” Practice Location

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