Healthcare Provider Details

I. General information

NPI: 1063324895
Provider Name (Legal Business Name): ANNA CHRISTINE PARKER
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5241 VETERANS PKWY
MURFREESBORO TN
37128-4378
US

IV. Provider business mailing address

1209 MAXFLI DR
MURFREESBORO TN
37129-8375
US

V. Phone/Fax

Practice location:
  • Phone: 206-412-9741
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number13992
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: