| Full Spectrum Pediatric Therapy, Inc. | |
|
298 Warfield Blvd, Suite C, Clarksville, TN 37043-1896 | |
| (931) 906-0440 | |
| (931) 920-5070 |
| Full Name | Full Spectrum Pediatric Therapy, Inc. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 298 Warfield Blvd, Suite C, Clarksville, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255472403 | NPI | - | NPPES |
| 4004828 | Other | TN | TENNCARE PROVIDER NUMBER |
| 4004828 | Other | TN | BCBS PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT 6520 (Tennessee) | Primary |
| 225X00000X | Occupational Therapist | OT 2156 (Tennessee) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Full Spectrum Pediatric Therapy, Inc. 298 Warfield Blvd, Suite C, Clarksville, TN 37043-1896 Ph: (931) 906-0440 | Full Spectrum Pediatric Therapy, Inc. 298 Warfield Blvd, Suite C, Clarksville, TN 37043-1896 Ph: (931) 906-0440 |
Abigale Lunsford, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 461 Pond Apple Rd, Clarksville, TN 37043 Phone: 931-920-4333 | |
Christina Lauren Bovell, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 298 Warfield Blvd Apt C, Clarksville, TN 37043 Phone: 931-906-0440 | |
Mrs. Dana Gillilan Terrell, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 402 Marietta Pl, Clarksville, TN 37043 Phone: 270-798-8102 | |
Jerry Paschal Stewart, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2134 Old Ashland City Rd, Clarksville, TN 37043 Phone: 931-552-3002 | |
Mrs. Mary Catherine Lang, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1842 Wilma Rudolph Blvd, Clarksville, TN 37040 Phone: 931-906-0440 Fax: 931-920-5070 | |
Dr. Lindley Rutherford, D.P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 851 Professional Park Dr, Clarksville, TN 37040 Phone: 931-542-2168 | |
Marcus Antwan Pearson, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2690 Madison St Ste 120, Clarksville, TN 37043 Phone: 931-358-0559 Fax: 931-358-0587 |