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NPI Code Detail

MEDICARE: MRS. DONNA GAIL CURRAN P.T.

MEDICARE: MRS. DONNA GAIL CURRAN P.T.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT0000001290TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12007917OTHERTNBLUECROSS BLUESHIELD ID

General Provider Information

NPI Number : 1053393165
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DONNA GAIL CURRAN P.T.
Provider Business Mailing Address
First Line : 550 N SPRING ST
Second Line :
City : SPARTA
State : TN
Zip : 38583-1330
Country : US
Telephone Number : 931-836-3446
Fax Number : 931-836-3519
Provider Business Practice Location Address
First Line : 550 N SPRING ST
Second Line :
City : SPARTA
State : TN
Zip : 38583-1330
Country : US
Telephone Number : 931-836-3446
Fax Number : 931-836-3519
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2005
Last Update Date : 07/08/2007

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