Individual
MEGAN M GESELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5651 FRIST BLVD, SUITE 200, HERMITAGE, TN 37076-2054
(615) 885-0200
(615) 885-0267
Mailing address
3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 37072-3132
(615) 851-6033
(615) 851-2018
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
8119
TN
225100000X
Physical Therapist
Primary
PT0000008119
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0446631
—
TN
05
—
1513554
—
TN
01
—
4356028
BCBS OF TN
TN
05
—
7100281950
—
KY
Enumeration date
07/11/2008
Last updated
05/10/2017
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