Healthcare Provider Details
I. General information
NPI: 1588454730
Provider Name (Legal Business Name): FIVE AND TWO THERAPY AND WELLNESS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/10/2025
Last Update Date: 05/10/2025
Certification Date: 05/10/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6398 MORTON ROAD EXT
GREENBRIER TN
37073-5793
US
IV. Provider business mailing address
6398 MORTON ROAD EXT
GREENBRIER TN
37073-5793
US
V. Phone/Fax
- Phone: 615-557-3706
- Fax:
- Phone: 615-557-3706
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225X00000X |
| Taxonomy | Occupational Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
MATTHEW
THOMAS
YOUNG
Title or Position: FOUNDER
Credential: OTD, OTR/L
Phone: 615-557-3706