Healthcare Provider Details

I. General information

NPI: 1780291948
Provider Name (Legal Business Name): RESULTS-AST JV, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2020
Last Update Date: 02/08/2021
Certification Date: 02/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 MALLORY LN STE 201
FRANKLIN TN
37067-8235
US

IV. Provider business mailing address

PO BOX 306393
NASHVILLE TN
37230-6393
US

V. Phone/Fax

Practice location:
  • Phone: 615-771-0134
  • Fax: 615-771-8816
Mailing address:
  • Phone: 615-465-0922
  • Fax: 615-866-3525

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: MR. ANDREW LANGE
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 615-656-0408