Healthcare Provider Details

I. General information

NPI: 1083199822
Provider Name (Legal Business Name): GRIFFIN ALEXANDER MOORE DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/27/2018
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 DUKE DR STE 200
FRANKLIN TN
37067-2948
US

IV. Provider business mailing address

520 DUKE DR STE 200
FRANKLIN TN
37067-2948
US

V. Phone/Fax

Practice location:
  • Phone: 615-469-6909
  • Fax: 615-469-0806
Mailing address:
  • Phone: 615-469-6909
  • Fax: 615-469-0806

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number11929
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: