Clement O Adesinasi, PT

Individual provider Active NPI Physical Therapist · Nashville, TN

NPI 1902016744 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1902016744
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PT3168 (TN)
Practice address
550 Adamwood Dr
Nashville, TN 37211-5211
Phone
(615) 833-4712
NPI assigned
May 23, 2007
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
PT3168TNMDPhysical Therapist
3168TNMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT3168 TN Yes

Addresses

Primary practice location

550 Adamwood Dr
Nashville, TN 37211-5211

Mailing address

550 Adamwood Dr
Nashville, TN 37211-5211
Phone (615) 833-4712

Other providers in Nashville, TN

All providers in Nashville, TN · Physical Therapist in Tennessee

Sources for this page

Verify at the official NPI Registry.