Organization
MEMPHIS SPINE AND REHAB CENTER, PLLC
Active
Organization
MEMPHIS SPINE AND REHAB CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA SUE PETTY (OFFICE MANAGER)
(901) 751-0939
Entity
Organization
Contact information
Practice address
2645 APPLING RD STE 103, MEMPHIS, TN 38133-5088
(901) 751-0939
(901) 751-0332
Mailing address
7796 WOLF TRAIL CV STE 1022645, MEMPHIS, TN 38138-1782
(901) 751-0939
(901) 751-0332
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q009468
—
TN
Enumeration date
07/15/2014
Last updated
02/25/2020
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