Healthcare Provider Details

I. General information

NPI: 1740024264
Provider Name (Legal Business Name): COLLINS V HOHNE LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2024
Last Update Date: 06/20/2024
Certification Date: 06/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

412 GALLATIN PIKE S
MADISON TN
37115-4009
US

IV. Provider business mailing address

2017 HACKBERRY LN
NASHVILLE TN
37206-1822
US

V. Phone/Fax

Practice location:
  • Phone: 404-831-7741
  • Fax:
Mailing address:
  • Phone: 404-831-7741
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number13408
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: