Healthcare Provider Details

I. General information

NPI: 1659639052
Provider Name (Legal Business Name): PHYSICAL THERAPY SPECIALISTS OF TENNESSEE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2012
Last Update Date: 09/27/2023
Certification Date: 09/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3326 ASPEN GROVE DR STE 306
FRANKLIN TN
37067-4857
US

IV. Provider business mailing address

412 AUTUMN LAKE TRL
FRANKLIN TN
37067-2693
US

V. Phone/Fax

Practice location:
  • Phone: 615-305-8896
  • Fax: 615-807-2684
Mailing address:
  • Phone: 615-305-8896
  • Fax: 615-807-2684

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License Number6200
License Number StateTN

VIII. Authorized Official

Name: MELISSA HARRIS EISENHAUER
Title or Position: OWNER, PHYSICAL THERAPIST
Credential: PT
Phone: 615-305-8896