Healthcare Provider Details

I. General information

NPI: 1447779012
Provider Name (Legal Business Name): MR. CHRISTOPHER ROBERT HOHL
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2017
Last Update Date: 09/16/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 ROBERTA STREET
NASHVILLE TN
37206
US

IV. Provider business mailing address

1201 ROBERTA ST
NASHVILLE TN
37206-1324
US

V. Phone/Fax

Practice location:
  • Phone: 615-756-7003
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberPTA0000006452
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: