Individual
ALEXA BONEFAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
515 STONECREST PKWY STE 120, SMYRNA, TN 37167-6827
(615) 220-1122
Mailing address
PO BOX 681478, FRANKLIN, TN 37068-1478
(615) 591-6590
(615) 591-6601
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12476
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0446631
—
TN
Enumeration date
10/14/2019
Last updated
10/14/2019
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