# ADAM BROOKS RISINGER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1508869462
- **Gender:** Man
- **Credential:** P.T.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | PT5427 | TN | Yes |

## Other

- **Enumeration date:** 05/24/2005
- **Last updated:** 10/22/2014

## 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 |