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NPI Code Detail

MEDICARE: MICHAEL PISCATELLI DPT

MEDICARE: MICHAEL PISCATELLI 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 Therapist9968SC

General Provider Information

NPI Number : 1821633785
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL PISCATELLI DPT
Provider Business Mailing Address
First Line : 800 CRESCENT CENTRE DR STE 300
Second Line :
City : FRANKLIN
State : TN
Zip : 37067-7285
Country : US
Telephone Number : 615-373-1350
Fax Number : 615-221-9054
Provider Business Practice Location Address
First Line : 3032 W MONTAGUE AVE STE 101
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29418-7921
Country : US
Telephone Number : 843-885-8772
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2019
Last Update Date : 12/02/2019

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