Healthcare Provider Details

I. General information

NPI: 1700485646
Provider Name (Legal Business Name): RESULTS-AST JV, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/21/2020
Last Update Date: 10/21/2020
Certification Date: 10/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4230 HARDING ROAD SUITE 400
NASHVILLE TN
37205
US

IV. Provider business mailing address

PO BOX 306393
NASHVILLE TN
37230-6393
US

V. Phone/Fax

Practice location:
  • Phone: 615-921-6504
  • Fax:
Mailing address:
  • Phone: 615-465-0922
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: ANDREW LANGE
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 615-465-0922