Healthcare Provider Details

I. General information

NPI: 1992644264
Provider Name (Legal Business Name): CARSON DEYO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2026
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3343 ASPEN GROVE DR
FRANKLIN TN
37067-2908
US

IV. Provider business mailing address

213 STAR POINTER WAY
SPRING HILL TN
37174-1180
US

V. Phone/Fax

Practice location:
  • Phone: 615-651-4833
  • Fax:
Mailing address:
  • Phone: 615-293-4005
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number8621
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: