# MTG2

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Midsouth Therapy Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396476081
- **Authorized official:** HANNAH HUTCHESON CCC-SLP (CO-OWNER)
- **Authorized official phone:** (479) 461-7738

## Contact information

- **Practice address:** 146 TIMBER CREEK DR STE 101, CORDOVA, TN 38018-4396
- **Practice address phone:** (901) 654-5693
- **Mailing address:** 1236 CHERRYDALE CV, MEMPHIS, TN 38111-8104
- **Mailing address phone:** (479) 461-7738

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | Yes |
| 235Z00000X | Speech-Language Pathologist | — | — | Yes |

## Other

- **Enumeration date:** 06/22/2022
- **Last updated:** 06/22/2022
