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NPI Code Detail

MEDICARE: MRS. RUTH ELLEN PRATHER PT

MEDICARE: MRS. RUTH ELLEN PRATHER 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 Therapist7148TN

General Provider Information

NPI Number : 1932189875
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. RUTH ELLEN PRATHER PT
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 : 262 NEW SHACKLE ISLAND RD STE 210
Second Line :
City : HENDERSONVILLE
State : TN
Zip : 37075-2489
Country : US
Telephone Number : 615-507-1552
Fax Number : 615-507-1553
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2006
Last Update Date : 01/04/2022

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