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

Wolf River Family Footcare PLLC

Organization Foot & Ankle Surgery Podiatrist · NPI 1457480683

Wolf River Family Footcare PLLC is a Foot & Ankle Surgery Podiatrist in Bartlett, Tennessee. Licensed in Tennessee. Registered with an NPI since 2007.

Licensed in
TN
In the registry since
2007
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7424 US Highway 64 Ste 119
Bartlett, TN 38133-3986
Phone: (901) 381-2800
Fax: (901) 381-2677
Show map & directions

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

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence DPM0000000422 (TN)

Record details

NPI number1457480683
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carl Siciliano — Owner Sole Member · (901) 381-2800
NPI enumeratedMarch 5, 2007
Last updated in NPPESJune 5, 2008
Mailing address7424 Us Highway 64, Suite 119, Bartlett, TN 38133-3986

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