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Michael Wayne Worley

NPI Registration Record

Provider / OrganizationNPIDate Certified
MICHAEL WAYNE WORLEY18418099362020-07-24
Entity TypeIndividual
Provider Name Michael Wayne Worley PT
Practice Office Address801 W MAIN ST
LEBANON, TN US
Practice Office Telephone6152576517
Mailing Address1661 MAPLE VIEW WAY
KNOXVILLE, TN 379181698 US
Business Telephone8658501754
HPT Codes
CodeLicense NoState
225100000X PRIMARYPT2118 TN
OPI Codes

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