Organization
TAILORCARE PROVIDER SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN WALLACE (MANAGING MEMBER)
(440) 506-9304
Entity
Organization
Contact information
Practice address
1316 ADAMS ST STE 220, NASHVILLE, TN 37208-2483
(440) 506-9304
Mailing address
1316 ADAMS ST STE 220, NASHVILLE, TN 37208-2483
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
03/27/2026
Last updated
03/27/2026
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