Healthcare Provider Details

I. General information

NPI: 1912572082
Provider Name (Legal Business Name): CLIMB PERFORMANCE THERAPIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2021
Last Update Date: 10/11/2021
Certification Date: 10/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

502 N GARDEN ST STE 210
COLUMBIA TN
38401-3237
US

IV. Provider business mailing address

502 N GARDEN ST STE 210
COLUMBIA TN
38401-3237
US

V. Phone/Fax

Practice location:
  • Phone: 931-240-4088
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BRITTANY RYAN
Title or Position: CO-FOUNDER AND PHYSICAL THERAPIST
Credential: DPT
Phone: 931-240-4088