| Mallorie Lyles, DPT | |
|
2536 Highway 49 E Ste 130, Pleasant View, TN 37146-7160 | |
| (615) 746-1565 | |
| (615) 746-1614 |
| Full Name | Mallorie Lyles |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 2536 Highway 49 E Ste 130, Pleasant View, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285301382 | NPI | - | NPPES |
| 0446631 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 13738 (Tennessee) | Primary |
| Provider Name | Agilitas Usa Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1962417444 PECOS PAC ID: 3375454648 Enrollment ID: O20041115000337 |
| Provider Name | Results-ast Jv Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1780291948 PECOS PAC ID: 4486066396 Enrollment ID: O20201217003061 |
| Mailing Address | Practice Location Address |
|---|---|
| Mallorie Lyles, DPT Po Box 681478, Franklin, TN 37068-1478 Ph: (615) 591-6590 | Mallorie Lyles, DPT 2536 Highway 49 E Ste 130, Pleasant View, TN 37146-7160 Ph: (615) 746-1565 |
Mrs. Katie Beth Bradford, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 176 Village Sq Apt 300, Pleasant View, TN 37146 Phone: 615-268-1259 | |
Casey A Davis, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2536 Highway 49 E, Suite 130, Pleasant View, TN 37146 Phone: 615-746-1565 Fax: 615-746-1614 | |
Jonathan Earl Hitchcock, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1804 Pinnacle Rd Ste A, Pleasant View, TN 37146 Phone: 931-221-4743 Fax: 931-552-0999 | |
Brandon White, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2536 Highway 49 E Ste 130, Pleasant View, TN 37146 Phone: 615-746-1565 | |
Results-ast Jv, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 178 Centre St, Pleasant View, TN 37146 Phone: 629-240-8710 | |
Jordan A Powell, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2536 Highway 49 E, Ste.130, Pleasant View, TN 37146 Phone: 615-746-1565 Fax: 615-746-1614 |