Provider Demographics
NPI:1649054883
Name:SCALES, TAURA LECHELLE (SPECIALIST)
Entity type:Individual
Prefix:
First Name:TAURA
Middle Name:LECHELLE
Last Name:SCALES
Suffix:
Gender:F
Credentials:SPECIALIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6801 US HIGHWAY 70 STE 102
Mailing Address - Street 2:
Mailing Address - City:BARTLETT
Mailing Address - State:TN
Mailing Address - Zip Code:38134-4764
Mailing Address - Country:US
Mailing Address - Phone:901-503-0098
Mailing Address - Fax:
Practice Address - Street 1:6801 US HIGHWAY 70 STE 102
Practice Address - Street 2:
Practice Address - City:BARTLETT
Practice Address - State:TN
Practice Address - Zip Code:38134-4764
Practice Address - Country:US
Practice Address - Phone:901-503-0098
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-21
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1089151744P3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case Management