Healthcare Provider Details
I. General information
NPI: 1932227238
Provider Name (Legal Business Name): BARBARA M ZWERNER PT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 03/26/2007
Last Update Date: 02/20/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3415 W END AVE
NASHVILLE TN
37203-1077
US
IV. Provider business mailing address
3415 W END AVE
NASHVILLE TN
37203-1077
US
V. Phone/Fax
- Phone: 615-891-4037
- Fax: 615-457-1796
- Phone: 615-891-4037
- Fax: 615-457-1796
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2251S0007X |
| Taxonomy | Sports Physical Therapist |
| License Number | PT15154 |
| License Number State | AL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | 8926 |
| License Number State | TN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: