OrganizationActive
Bluebird Recovery LLC
NPI 1730892837 · Addiction Medicine (Family Medicine) Physician · Tullahoma, TN
Provider details
- NPI number
- 1730892837
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Chasity Tankersley, Office Manager(931) 841-3311
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Substance Abuse Rehabilitation Facility324500000X
Residential Treatment Facilities
Practice location
127 Ledford Mill Rd Ste B
Tullahoma, TN 37388-2278
Phone: (931) 841-3311
Fax: (931) 841-3314
Approximate (ZIP-level) locationGet directions
Mailing address
127 Ledford Mill Rd Ste B
Tullahoma, TN 37388-2278
Additional practice locations (2)
- 4140 Thornton Taylor Pkwy Ste DFayetteville, TN 37334-2290Phone: (931) 434-8109
- 161 Mose DrSparta, TN 38583-1502Phone: (931) 222-0139
Registry dates
- Enumerated
- 2023-01-04
- Last updated
- 2023-09-28
- Certified
- 2023-09-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.