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NPI Code Detail

MEDICARE: VANESSA ANNE HART DPT

MEDICARE: VANESSA ANNE HART DPT
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 Therapist070-019436IL
2225100000XPhysical TherapistTN

General Provider Information

NPI Number : 1366790115
Entity Type Code : Individual
Provider Name (Legal Business Name) : VANESSA ANNE HART DPT
Provider Business Mailing Address
First Line : PO BOX 306393
Second Line :
City : NASHVILLE
State : TN
Zip : 37230-6393
Country : US
Telephone Number : 615-373-1350
Fax Number : 615-373-7116
Provider Business Practice Location Address
First Line : 2004 HAYES ST
Second Line : STE 200
City : NASHVILLE
State : TN
Zip : 37203-2689
Country : US
Telephone Number : 615-771-0134
Fax Number : 615-771-8816
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2012
Last Update Date : 06/20/2022

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Directions to “ VANESSA ANNE HART DPT” Practice Location

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