Individual
DR. LUCKY MAZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, OCS
Contact information
Practice address
5073 MAIN ST STE 140, SPRING HILL, TN 37174-2738
(615) 861-4444
Mailing address
2011 BLOSSOM RUN, SPRING HILL, TN 37174-4542
(615) 913-6862
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
16343
TN
Other
Enumeration date
10/20/2022
Last updated
04/03/2025
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