Healthcare Provider Details

I. General information

NPI: 1972649481
Provider Name (Legal Business Name): ACCESS & MOBILITY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

945 BARNES RD
ANTIOCH TN
37013-4418
US

IV. Provider business mailing address

945 BARNES RD
ANTIOCH TN
37013-4418
US

V. Phone/Fax

Practice location:
  • Phone: 615-533-1933
  • Fax: 615-834-4782
Mailing address:
  • Phone: 615-533-1933
  • Fax: 615-834-4782

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number113486
License Number StateTN

VIII. Authorized Official

Name: MR. KEN LEE WOODSON
Title or Position: OWNER
Credential: ATS, CRTS
Phone: 615-533-1933