Healthcare Provider Details

I. General information

NPI: 1386952273
Provider Name (Legal Business Name): DAVID JENNINGS PT, DPT, SCS, CMTPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2010
Last Update Date: 09/16/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

615 BAKERS BRIDGE AVE STE 110
FRANKLIN TN
37067-1801
US

IV. Provider business mailing address

152 BURBERRY GLEN BLVD
NOLENSVILLE TN
37135-2102
US

V. Phone/Fax

Practice location:
  • Phone: 615-465-6810
  • Fax: 615-465-6817
Mailing address:
  • Phone: 615-878-7595
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number1386
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License Number10483
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: