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

Individual provider Physical Therapist · NPI 1285881797

Divina Bautista is a Physical Therapist in Memphis, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2008
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Practice location Address checks out

6025 Primacy Pkwy
Memphis, TN 38119-5763
Phone: (901) 767-1040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 3526 (TN)

Record details

NPI number1285881797
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 27, 2008
Last updated in NPPESAugust 27, 2008
Mailing address2302 Londonderry Ln, Cordova, TN 38016-8412

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