Healthcare Provider Details

I. General information

NPI: 1538759162
Provider Name (Legal Business Name): TAYLOR LOUISE NOCK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/18/2021
Last Update Date: 08/30/2026
Certification Date: 08/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5655 FRIST BLVD
HERMITAGE TN
37076-2053
US

IV. Provider business mailing address

1721 6TH AVE N UNIT 5
NASHVILLE TN
37208-2354
US

V. Phone/Fax

Practice location:
  • Phone: 615-316-3000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number8376
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: