Healthcare Provider Details
I. General information
NPI: 1912573379
Provider Name (Legal Business Name): BE READY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/27/2021
Last Update Date: 05/27/2021
Certification Date: 05/27/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
207 MCMILLIN ST
NASHVILLE TN
37203-2912
US
IV. Provider business mailing address
2602 MATCHSTICK PL
SPRING HILL TN
37174-7159
US
V. Phone/Fax
- Phone: 615-617-4942
- Fax:
- Phone: 615-438-3963
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2251S0007X |
| Taxonomy | Sports Physical Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CHRISTOPHER
BEAVERS
Title or Position: CO OWNER
Credential: PT, DPT
Phone: 615-438-3963