| Doctor Name: | JILL MARY VANDELOO |
| NPI Number: | 1285993626 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT |
| License Number: | 3441 |
| Business Practice Address: | 131 Hatcher Ln # B Clarksville, TN - 370435987 |
| Business Phone Number: | 9315524846 |
| Business Fax Number: | 9315524493 |
| Mailing Address: | 2001 Mallory Ln, Suite 201 FRANKLIN |
| State: | TN |
| Postal Code: | 370678233 |
| Phone Number: | 6153731350 |
| Fax Number: | 6152219054 |
| NPI Enumeration Date: | 05/04/2012 |
| NPI Last Update Date: | 05/04/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 3441 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| 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 |