Healthcare Provider Details

I. General information

NPI: 1033543251
Provider Name (Legal Business Name): SADDLE UP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2013
Last Update Date: 06/06/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1549 OLD HILLSBORO RD
FRANKLIN TN
37069
US

IV. Provider business mailing address

1549 OLD HILLSBORO RD
FRANKLIN TN
37069-9136
US

V. Phone/Fax

Practice location:
  • Phone: 615-794-1150
  • Fax: 615-794-7973
Mailing address:
  • Phone: 615-794-1150
  • Fax: 615-794-7973

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: MS. LAURIE KUSH
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 615-794-1150