| Ms Grace C Shen, PT | |
|
115 Cumberland Plz, Crossville, TN 38555-4292 | |
| (931) 787-1244 | |
| Not Available |
| Full Name | Ms Grace C Shen |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 115 Cumberland Plz, Crossville, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447437561 | NPI | - | NPPES |
| 079TY | Other | NC | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 8692 (North Carolina) | Secondary |
| 225100000X | Physical Therapist | 16202 (Tennessee) | Primary |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1104823400 PECOS PAC ID: 2163339722 Enrollment ID: O20170118000750 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Grace C Shen, PT 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (423) 238-7217 | Ms Grace C Shen, PT 115 Cumberland Plz, Crossville, TN 38555-4292 Ph: (931) 787-1244 |
Lindsey D Wilson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 707 S Main St, Crossville, TN 38555 Phone: 931-456-1818 Fax: 931-456-4458 | |
Hayley Brooke Kerley, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 115 Cumberland Plz, Crossville, TN 38555 Phone: 931-787-1244 Fax: 931-787-1245 | |
Advanced Rehabilitation Center, Pllc Physical Therapist Medicare: Medicare Enrolled Practice Location: 50 Stanley St, Crossville, TN 38555 Phone: 931-456-5757 Fax: 931-456-5533 | |
Peter William Seeley, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 80 Miller Ave, Suite 104, Crossville, TN 38555 Phone: 931-787-1244 Fax: 931-787-1245 | |
Elton Tidwell, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 115 Cumberland Plz, Crossville, TN 38555 Phone: 931-787-1244 | |
Dr. Andrew Nathan Chleborad, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 50 Stanley St, Crossville, TN 38555 Phone: 931-456-5757 | |
Ms. Deborah Anne Ellison, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 29 Taylor Ave Ste 205, Crossville, TN 38555 Phone: 931-456-5757 Fax: 931-456-5533 |