Provider Demographics
NPI:1497700132
Name:MCGEE, TAMMY (DPT)
Entity Type:Individual
Prefix:
First Name:TAMMY
Middle Name:
Last Name:MCGEE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1406 MEDICAL CENTER DR
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:TN
Mailing Address - Zip Code:37087-8500
Mailing Address - Country:US
Mailing Address - Phone:615-444-4343
Mailing Address - Fax:
Practice Address - Street 1:1406 MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:TN
Practice Address - Zip Code:37087-8500
Practice Address - Country:US
Practice Address - Phone:615-444-4343
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2019-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN6724225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4086608OtherBCBS OF TENNESSEE
TN446631Medicare ID - Type UnspecifiedGROUP
TN3659306Medicare PIN