Individual
MARY IVY LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
210 WESTWOOD PL STE 400, BRENTWOOD, TN 37027-7554
(615) 577-1900
Mailing address
210 WESTWOOD PL STE 400, BRENTWOOD, TN 37027-7554
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/16/2017
Last updated
05/18/2022
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