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NPI Code Detail

MEDICARE: DR. LEE CALVIN WEBB PT, DPT

MEDICARE:  DR. LEE CALVIN WEBB  PT, 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
12251X0800XOrthopedic Physical Therapist7646TN

General Provider Information

NPI Number : 1932281995
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LEE CALVIN WEBB PT, DPT
Provider Business Mailing Address
First Line : 650 JOEL DR
Second Line :
City : FORT CAMPBELL
State : KY
Zip : 42223-5318
Country : US
Telephone Number : 270-956-0306
Fax Number :
Provider Business Practice Location Address
First Line : 5979 DESERT STORM AVE
Second Line :
City : FORT CAMPBELL
State : KY
Zip : 42223-5584
Country : US
Telephone Number : 270-956-0306
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2006
Last Update Date : 07/08/2007

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