Organization
NULIFE PHYSICAL THERAPY INC.
Active
Other names
NuLife Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE RICHARD FLATT PTA (OWMER)
(615) 325-9007
Entity
Organization
Contact information
Practice address
421 N BROADWAY STE B, PORTLAND, TN 37148-1750
(615) 325-9007
(615) 325-5794
Mailing address
421 N BROADWAY STE B, PORTLAND, TN 37148-1750
(615) 325-9007
(615) 325-5794
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
1241
TN
Other
Enumeration date
03/31/2015
Last updated
10/16/2024
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