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NPI Code Detail

MEDICARE: LINSEY NICOLE HEARN CTRS

MEDICARE: LINSEY NICOLE HEARN CTRS
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
1226000000XRecreational Therapist Assistant
2225800000XRecreation Therapist

General Provider Information

NPI Number : 1831873124
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINSEY NICOLE HEARN CTRS
Provider Business Mailing Address
First Line : 6516 VESTINE DR
Second Line :
City : KNOXVILLE
State : TN
Zip : 37918-1200
Country : US
Telephone Number : 770-652-4003
Fax Number :
Provider Business Practice Location Address
First Line : 6516 VESTINE DR
Second Line :
City : KNOXVILLE
State : TN
Zip : 37918-1200
Country : US
Telephone Number : 770-652-4003
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2023
Last Update Date : 06/20/2023

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Directions to “ LINSEY NICOLE HEARN CTRS” Practice Location

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