Doctor Name: | ELIZABETH SUZANNE SAMPLE |
NPI Number: | 1366682585 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 8290 |
Business Practice Address: | 344 Henslee Dr Suite 8 Dickson, TN - 370552051 |
Business Phone Number: | 6154467623 |
Business Fax Number: | 6154467624 |
Mailing Address: | 2001 Mallory Ln, Suite 201 FRANKLIN |
State: | TN |
Postal Code: | 370678233 |
Phone Number: | 6153731350 |
Fax Number: | 6153737116 |
NPI Enumeration Date: | 02/27/2009 |
NPI Last Update Date: | 02/27/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 8290 |
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 |