Healthcare Provider Details

I. General information

NPI: 1346456837
Provider Name (Legal Business Name): INTELLIGENT THERAPY STAFFING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3131 TOM AUSTIN HWY
SPRINGFIELD TN
37172-4801
US

IV. Provider business mailing address

4733 CAPE HOPE PASS
HERMITAGE TN
37076-3658
US

V. Phone/Fax

Practice location:
  • Phone: 615-386-4900
  • Fax:
Mailing address:
  • Phone: 615-889-3593
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number1269
License Number StateTN

VIII. Authorized Official

Name: MRS. HEATHER HAMRICK CARLISLE
Title or Position: CERTIFIED OCCUPATIONAL THERAPY ASSI
Credential: COTA
Phone: 615-386-4900