Healthcare Provider Details

I. General information

NPI: 1780395137
Provider Name (Legal Business Name): HANNAH CLAIRE HORTON DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/07/2022
Last Update Date: 12/07/2022
Certification Date: 12/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1999 RUTLEDGE PIKE
BLAINE TN
37709-5003
US

IV. Provider business mailing address

8059 MITCHELL LN
VESTAVIA HILLS AL
35216-6821
US

V. Phone/Fax

Practice location:
  • Phone: 865-498-6900
  • Fax: 865-498-6901
Mailing address:
  • Phone: 865-498-6900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number13388
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: