Healthcare Provider Details

I. General information

NPI: 1528261773
Provider Name (Legal Business Name): AMANDA NICOLE ROWLAND MPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/06/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3200 VUMC MEDICAL CENTER EAST SOUTH TOWER
NASHVILLE TN
37232-0001
US

IV. Provider business mailing address

1127 MCCHESNEY AVE
NASHVILLE TN
37216-2726
US

V. Phone/Fax

Practice location:
  • Phone: 615-831-4224
  • Fax:
Mailing address:
  • Phone: 615-522-4563
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License NumberPT7033
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: