MEDICARE: HOLLY E MAYS 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
1	2083X0100X	Occupational Medicine Physician	PT017445	PA
2	2251P0200X	Pediatric Physical Therapist	PT017445	PA

General Provider Information

NPI Number	:	1952420556
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOLLY E MAYS PT

Provider Business Mailing Address
First Line	:	720 COOL SPRINGS BLVD
Second Line	:	SUITE 300
City	:	FRANKLIN
State	:	TN
Zip	:	37067-2626
Country	:	US
Telephone Number	:	615-778-4066
Fax Number	:	615-778-9114

Provider Business Practice Location Address
First Line	:	1635 W CARSON ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15219-1039
Country	:	US
Telephone Number	:	615-778-4066
Fax Number	:

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

Provider Enumeration Date	:	03/28/2007
Last Update Date	:	02/09/2009

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Directions to “ HOLLY E MAYS PT” Practice Location

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