Healthcare Provider Details
I. General information
NPI: 1316857683
Provider Name (Legal Business Name): GRACE ELIZABETH BAGINSKI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
216 FAIRGROUND ST
FRANKLIN TN
37064-3531
US
IV. Provider business mailing address
973 GENERAL GEORGE PATTON RD
NASHVILLE TN
37221-2586
US
V. Phone/Fax
- Phone: 615-477-8657
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | 17049 |
| License Number State | TN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: