MEDICARE: STEPHANIE KAREN EUSEBIO 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
1	225100000X	Physical Therapist	12661	TN

General Provider Information

NPI Number	:	1922251719
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE KAREN EUSEBIO DPT

Provider Business Mailing Address
First Line	:	PO BOX 306393
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37230-6393
Country	:	US
Telephone Number	:	615-373-1350
Fax Number	:

Provider Business Practice Location Address
First Line	:	2004 HAYES ST STE 545
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37203-2655
Country	:	US
Telephone Number	:	615-284-7555
Fax Number	:	615-284-7075

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/24/2008
Last Update Date	:	02/08/2021

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