Tullahoma Pediatric Therapy, LLC

NPI #1063042166 in Tullahoma, Tennessee

Provider Information

NPI Number: 1063042166
Entity Type: Organization
Organization Name: Tullahoma Pediatric Therapy, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Jan 17, 2020
Last Updated: Jan 20, 2024

Practice Location

Address: 1282 TURKEY CREEK DR
City: Tullahoma
State: Tennessee
ZIP Code: 37388-4672
Phone: (931) 581-9018

Authorized Official

Name: LAURA M MILLER
Title: OWNER
Phone: (931) 581-9018

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Physical Therapy — Physical Therapy	261QP2000X
Clinic/Center - Rehabilitation — Rehabilitation	261QR0400X
Occupational Therapist - Pediatrics — Pediatrics	225XP0200X
Speech-Language Pathologist	235Z00000X
Physical Therapist - Pediatrics — Pediatrics	2251P0200X
Occupational Therapist	225X00000X
Physical Medicine & Rehabilitation	208100000X
Physical Medicine & Rehabilitation - Pediatric Rehabilitation Medicine — Pediatric Rehabilitation Medicine	2081P0010X
Physical Therapist	225100000X	Primary

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