Healthcare Provider Details

I. General information

NPI: 1609268358
Provider Name (Legal Business Name): VALERY HANKS OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/04/2015
Last Update Date: 03/04/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1215 21ST AVE S SUITE 9211
NASHVILLE TN
37232-8590
US

IV. Provider business mailing address

1215 21ST AVE S SUITE 9211
NASHVILLE TN
37232-8590
US

V. Phone/Fax

Practice location:
  • Phone: 615-936-5649
  • Fax: 615-936-5699
Mailing address:
  • Phone: 615-936-5649
  • Fax: 615-936-5699

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XN1300X
TaxonomyNeurorehabilitation Occupational Therapist
License Number2728
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: