Provider Demographics
NPI:1669704383
Name:NUTHERA
Entity type:Organization
Organization Name:NUTHERA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:H
Authorized Official - Last Name:PIEH
Authorized Official - Suffix:II
Authorized Official - Credentials:DPT, MPT, MBA
Authorized Official - Phone:901-867-8989
Mailing Address - Street 1:6050 AIRLINE RD STE 106
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TN
Mailing Address - Zip Code:38002-4894
Mailing Address - Country:US
Mailing Address - Phone:901-867-8989
Mailing Address - Fax:901-867-8757
Practice Address - Street 1:6050 AIRLINE RD STE 106
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TN
Practice Address - Zip Code:38002-4894
Practice Address - Country:US
Practice Address - Phone:901-867-8989
Practice Address - Fax:901-867-8757
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-04
Last Update Date:2010-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7034261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy