Organization
TENNESSEE ORTHOPAEDIC ALLIANCE PA
Active
Other names
Tennessee Orthopaedic Alliance PA
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON L AIUTO (CREDENTIALING MANAGER)
(865) 314-8114
Entity
Organization
Contact information
Practice address
8131 SAWYER BROWN RD STE 503, BELLEVUE, TN 37221-1430
(615) 267-6600
Mailing address
PO BOX 306556, NASHVILLE, TN 37230-6556
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3372041
—
TN
Enumeration date
11/28/2023
Last updated
11/28/2023
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