Healthcare Provider Details

I. General information

NPI: 1407570229
Provider Name (Legal Business Name): CLIMB INTENSIVE PEDIATRIC THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2022
Last Update Date: 10/10/2022
Certification Date: 10/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3011 HARRAH DR STE M
SPRING HILL TN
37174-6255
US

IV. Provider business mailing address

3011 HARRAH DR STE M
SPRING HILL TN
37174-6255
US

V. Phone/Fax

Practice location:
  • Phone: 615-241-2838
  • Fax: 615-247-3834
Mailing address:
  • Phone: 615-241-2838
  • Fax: 615-247-3834

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JESSIE CLINE
Title or Position: OWNER
Credential:
Phone: 615-241-2838