Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 61079 | TN |
NPI | 1629430996 |
---|---|
Provider Name | Lindsay Malatesta |
First Address | Nashville, TN 37204-4701 |
Second Address | Nashville, TN 37232-7101 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2016 |
Last Update Date | 15/09/2021 |