Healthcare Provider Details

I. General information

NPI: 1225168230
Provider Name (Legal Business Name): TENNESSEE MOBILITY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2007
Last Update Date: 07/26/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1472 S WATER AVE
GALLATIN TN
37066-5017
US

IV. Provider business mailing address

1472 S WATER AVE
GALLATIN TN
37066-5017
US

V. Phone/Fax

Practice location:
  • Phone: 615-451-7373
  • Fax: 615-451-7374
Mailing address:
  • Phone: 615-451-7373
  • Fax: 615-451-7374

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171WV0202X
TaxonomyVehicle Modifications Contractor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number
License Number State

VIII. Authorized Official

Name: CHRISTIAN SCHREIBER
Title or Position: OWNER
Credential:
Phone: 615-451-7373