Tabetha Jeanne Polly, is a
Physical Therapist based in Memphis, Nebraska. Tabetha Jeanne Polly is licensed to practice in Tennessee (license number 6758) and her current practice location is
50 Humphreys, Suite 23, Memphis, Nebraska. She can be reached at her office (for appointments etc.) via phone at
(901) 226-4522.
NPI number for Tabetha Jeanne Polly is 1538389226 and her current mailing address is 10460 Monroe Rd, Lakeland, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1538389226.
Healthcare Provider's Profile
Full Name | Tabetha Jeanne Polly |
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Gender | Female |
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Speciality | Physical Therapist |
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Location | 50 Humphreys, Memphis, Nebraska |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1538389226
- Provider Enumeration Date: 04/26/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Tabetha Jeanne Polly such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1538389226 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 6758 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tabetha Jeanne Polly is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Tabetha Jeanne Polly, 10460 Monroe Rd, Lakeland, TN 38002-9708 Ph: () - | Tabetha Jeanne Polly, 50 Humphreys, Suite 23, Memphis, NE 38120 Ph: (901) 226-4522 |
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