ADVANCE WELLNESS CENTERS OF MEMPHIS LLC NPI 1023408135

NPI Information

  • NPI: 1023408135
  • Provider Name: ADVANCE WELLNESS CENTERS OF MEMPHIS LLC
  • Classification: Clinic/Center - 261QR0401X
  • Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Entity Type: Organization
  • Address: 2715 KIRBY RD
    SUITE 15
    MEMPHIS, TN
    ZIP 38119
  • Phone: (901) 207-6074

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NPI Details

ADVANCE WELLNESS CENTERS OF MEMPHIS LLC is a rehabilitation and comprehensive outpatient rehabilitation facility (corf) clinic center in Memphis, TN. ADVANCE WELLNESS CENTERS OF MEMPHIS LLC NPI is 1023408135. The provider is registered as an organization entity type.

The provider's business location address is:

2715 KIRBY RD
SUITE 15
MEMPHIS, TN
ZIP 38119-238
Phone: (901) 207-6074
Fax: (901) 207-6086

The provider's authorized official is Randall Songstad .
The authorized official title is Ceo and has the following contact phone number (901) 207-6074.

The enumeration date for this NPI number is 1/27/2015 and was last updated on 3/9/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0401XClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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