| Wyatt Fennell, | |
|
7336 Nolensville Rd Ste 202, Nolensville, TN 37135-2975 | |
| (615) 776-5215 | |
| Not Available |
| Full Name | Wyatt Fennell |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 7336 Nolensville Rd Ste 202, Nolensville, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083438006 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 16167 (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 |
|---|---|
| Wyatt Fennell, 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (423) 238-7217 | Wyatt Fennell, 7336 Nolensville Rd Ste 202, Nolensville, TN 37135-2975 Ph: (615) 776-5215 |
Saj Therapy Pllc Physical Therapist Medicare: Medicare Enrolled Practice Location: 7408 Tennessee Excavating Dr, Nolensville, TN 37135 Phone: 615-278-9869 | |
Elizabeth C Pfeiffer, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 934 Oldham Dr, Ste. 102, Nolensville, TN 37135 Phone: 615-776-8298 Fax: 615-776-8302 | |
Results-ast Jv, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7336 Nolensville Rd Ste 202, Nolensville, TN 37135 Phone: 615-776-5215 Fax: 615-776-5210 | |
Samuel Farmer, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 934 Oldham Dr Ste 102, Nolensville, TN 37135 Phone: 615-776-8298 Fax: 615-776-8302 | |
Katherine Bolles, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 7336 Nolensville Rd Ste 202, Nolensville, TN 37135 Phone: 615-776-5215 | |
Madisson Turner, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7336 Nolensville Rd Ste 202, Nolensville, TN 37135 Phone: 615-776-5215 |