Provider Demographics
NPI:1023440609
Name:MEADOWS, JAMES MARTIN (MSE, ATC)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:MARTIN
Last Name:MEADOWS
Suffix:
Gender:M
Credentials:MSE, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:308 KILLIAN WAY
Mailing Address - Street 2:
Mailing Address - City:MOUNT JULIET
Mailing Address - State:TN
Mailing Address - Zip Code:37122-4197
Mailing Address - Country:US
Mailing Address - Phone:615-547-1232
Mailing Address - Fax:615-547-1309
Practice Address - Street 1:ONE CUMBERLAND SQUARE
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:TN
Practice Address - Zip Code:37087
Practice Address - Country:US
Practice Address - Phone:615-218-0632
Practice Address - Fax:615-547-1309
Is Sole Proprietor?:No
Enumeration Date:2013-08-06
Last Update Date:2013-08-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN13112255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer