| Doctor Name: | ALLEN TYLER NANCE |
| NPI Number: | 1124023197 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.T. |
| License Number: | 00004730 |
| Business Practice Address: | 8823 Production Ln Ooltewah, TN - 373636511 |
| Business Phone Number: | 4232387217 |
| Business Fax Number: | 4232383473 |
| Mailing Address: | 2817 W Andrew Johnson Hwy, MORRISTOWN |
| State: | TN |
| Postal Code: | 378143216 |
| Phone Number: | 4235864810 |
| Fax Number: | 4235864811 |
| NPI Enumeration Date: | 06/16/2005 |
| NPI Last Update Date: | 02/02/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 00004730 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TN |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |