Provider Demographics
NPI:1881826352
Name:UNIQUE POTENTIAL NETWORK, INC.
Entity Type:Organization
Organization Name:UNIQUE POTENTIAL NETWORK, INC.
Other - Org Name:MFR YOGA
Other - Org Type:Other Name
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:RAGHUNATH
Authorized Official - Middle Name:
Authorized Official - Last Name:VEDALA
Authorized Official - Suffix:
Authorized Official - Credentials:MSCCCSLP
Authorized Official - Phone:901-246-6809
Mailing Address - Street 1:8910 ROBY CV
Mailing Address - Street 2:
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38016-4092
Mailing Address - Country:US
Mailing Address - Phone:901-246-6809
Mailing Address - Fax:901-202-9088
Practice Address - Street 1:2075 N GERMANTOWN PKWY
Practice Address - Street 2:SUITE108
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38016-1729
Practice Address - Country:US
Practice Address - Phone:901-246-6809
Practice Address - Fax:901-202-9088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-18
Last Update Date:2014-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4188225100000X
TN10327225700000X
TN2012235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty