Provider Demographics
NPI:1174824056
Name:PATEL, DILESH JAYANTIBHAI (MS PT)
Entity Type:Individual
Prefix:
First Name:DILESH
Middle Name:JAYANTIBHAI
Last Name:PATEL
Suffix:
Gender:M
Credentials:MS PT
Other - Prefix:
Other - First Name:DILESHKUMAR
Other - Middle Name:JAYANTILAL
Other - Last Name:PATEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5302 CLIFFSTONE DR
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:TN
Mailing Address - Zip Code:37167-8807
Mailing Address - Country:US
Mailing Address - Phone:615-542-9941
Mailing Address - Fax:615-206-7762
Practice Address - Street 1:1023 N HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37130-2450
Practice Address - Country:US
Practice Address - Phone:615-542-9941
Practice Address - Fax:615-206-7762
Is Sole Proprietor?:No
Enumeration Date:2010-11-09
Last Update Date:2020-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7788225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist