| Organization Name: | MIDTOWN INJURY & PHYSICAL THERAPY CENTER P.C. |
| NPI Number: | 1154461218 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JERRY LEE LOVELACE (OWNER) |
| Mailing Address: | 1488 Madison Ave Memphis |
| State: | TN US |
| Postal Code: | 381042447 |
| Phone Number: | 9017264110 |
| Fax Number: | 9017264106 |
| NPI Enumeration Date: | 02/07/2007 |
| NPI Last Update Date: | 01/28/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |