Healthcare Provider Details

I. General information

NPI: 1437330313
Provider Name (Legal Business Name): LAURA ANN FLYNN PT, PCS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/19/2007
Last Update Date: 11/19/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 22ND AVENUE SOUTH 1702 TVC
NASHVILLE TN
37232-0001
US

IV. Provider business mailing address

1301 22ND AVENUE SOUTH 1702 TVC
NASHVILLE TN
37232-0001
US

V. Phone/Fax

Practice location:
  • Phone: 615-343-6445
  • Fax: 615-343-0506
Mailing address:
  • Phone: 615-343-6445
  • Fax: 615-343-0506

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License NumberPT0000007153
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: