Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tullahoma Pediatric Therapy, LLC

Organization Physical Medicine & Rehabilitation Physician · NPI 1063042166

Tullahoma Pediatric Therapy, LLC is a Physical Medicine & Rehabilitation Physician in Tullahoma, Tennessee. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
9
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1282 Turkey Creek Dr
Tullahoma, TN 37388-4672
Phone: (931) 581-9018
Fax: (931) 623-6133
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X
Pediatric Rehabilitation Medicine Physician Taxonomy 2081P0010X
Pediatric Physical Therapist Taxonomy 2251P0200X
Occupational Therapist Taxonomy 225X00000X
Pediatric Occupational Therapist Taxonomy 225XP0200X
Speech-Language Pathologist Taxonomy 235Z00000X
Physical Therapy Clinic/Center Taxonomy 261QP2000X
Rehabilitation Clinic/Center Taxonomy 261QR0400X

Record details

NPI number1063042166
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Laura Miller — Owner · (931) 581-9018
NPI enumeratedJanuary 17, 2020
Last updated in NPPESJanuary 20, 2024
Certification dateJanuary 20, 2024
Mailing address1282 Turkey Creek Dr, Tullahoma, TN 37388-4672

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