Doctor Name: | MARK S VANCE |
NPI Number: | 1093796054 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.T. |
License Number: | 10379 |
Business Practice Address: | 491 Sage Rd N Ste. 1000 White House, TN - 371889360 |
Business Phone Number: | 6156728230 |
Business Fax Number: | 6156728977 |
Mailing Address: | Po Box 681478, FRANKLIN |
State: | TN |
Postal Code: | 370681478 |
Phone Number: | 6155916590 |
Fax Number: | 6155916601 |
NPI Enumeration Date: | 11/08/2005 |
NPI Last Update Date: | 08/18/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 10379 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |