Individual
MRS. BETH T MICHAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4692 SPOTTSWOOD AVE, MEMPHIS, TN 38117-4822
(901) 761-0555
(901) 761-7171
Mailing address
1120 FAIRMEADOW RD, MEMPHIS, TN 38117-5414
(901) 762-6386
(901) 761-7171
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
878
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5440957
—
TN
Enumeration date
02/28/2007
Last updated
07/08/2007
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