Healthcare Provider Details

I. General information

NPI: 1275905598
Provider Name (Legal Business Name): CALEB TEMPLETON OTR/L
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/26/2015
Last Update Date: 10/26/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1215 21ST AVE S STE 3312 3200 MEDICAL CENTER EAST SOUTH TOWER
NASHVILLE TN
37232-0014
US

IV. Provider business mailing address

1215 21ST AVE S STE 3312 3200 MEDICAL CENTER EAST SOUTH TOWER
NASHVILLE TN
37232-0014
US

V. Phone/Fax

Practice location:
  • Phone: 615-343-8383
  • Fax:
Mailing address:
  • Phone: 615-343-8383
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number4473
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: