Healthcare Provider Details

I. General information

NPI: 1720676737
Provider Name (Legal Business Name): RACHEL VIRGINIA CARLSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/05/2021
Last Update Date: 01/05/2021
Certification Date: 01/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7105 S SPRINGS DR STE 100
FRANKLIN TN
37067-1720
US

IV. Provider business mailing address

7113 CHARLOTTE PIKE APT 436
NASHVILLE TN
37209-5299
US

V. Phone/Fax

Practice location:
  • Phone: 615-324-1600
  • Fax:
Mailing address:
  • Phone: 318-655-4525
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: