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Individual

MARK PAUL TEMME

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
6286 BRIARCREST AVE STE 110, MEMPHIS, TN 38120-4023
(901) 641-3000
(901) 259-1698
Mailing address
6077 PRIMACY PKWY STE 140, MEMPHIS, TN 38119-5742
(901) 725-8347
(901) 259-7637

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3538
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03773399
MS
05
110318002
AR
05
157409721
AR
01
3112381
BCBS
TN
05
3371161
TN
05
3645235
TN
01
5599758
AETNA
TN
01
620819926
BCBS
MS
01
620819926
AETNA
TN
05
7187860
MS
01
P00341095
RAILROAD MEDICARE
TN
Enumeration date
05/24/2005
Last updated
06/20/2019
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