Healthcare Provider Details

I. General information

NPI: 1912330531
Provider Name (Legal Business Name): KATHERINE MARIE WOODLEE PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATHERINE MARIE ALEXANDER PT, DPT

II. Dates (important events)

Enumeration Date: 08/19/2013
Last Update Date: 04/23/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 DUNBAR CAVE RD STE A
CLARKSVILLE TN
37043-8850
US

IV. Provider business mailing address

5125 COCHRAN DR
NASHVILLE TN
37220-2011
US

V. Phone/Fax

Practice location:
  • Phone: 931-542-2739
  • Fax: 931-233-9970
Mailing address:
  • Phone: 615-419-0499
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number9677
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: