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Individual
ADAM BROOKS RISINGER
Active
Individual
ADAM BROOKS RISINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5427
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0723280001
PALMETTO
TN
01
—
4041683
BCBS
TN
01
—
620819926
BCBS
MS
01
—
620819926
AETNA
TN
01
—
P00266256
RAILROAD MEDICARE
TN
Enumeration date
05/24/2005
Last updated
10/22/2014
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