Healthcare Provider Details

I. General information

NPI: 1588206205
Provider Name (Legal Business Name): ANNE SKOWRONSKI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/14/2019
Last Update Date: 10/14/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

246 WILSON PIKE CIR STE D
BRENTWOOD TN
37027-2746
US

IV. Provider business mailing address

13355 CENTRAL PIKE
MOUNT JULIET TN
37122-5823
US

V. Phone/Fax

Practice location:
  • Phone: 615-428-6998
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT0000007187
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: