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General NPI Number Information
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NPI Number | 1033750310
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Entity Type | Organization
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Legal Business Name | NASHVILLE PHYSICAL THERAPY & PERFORMANCE, PLLC
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Dates
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Enumeration Date | 10/08/2019
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Last Update Date | 10/08/2019
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Provider Practice Location Address
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Address Line | 15115 OLD HICKORY BLVD STE C
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City | NASHVILLE
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State | TN
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Zip | 37211-6585
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Country | US
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Telephone | 615-746-7121
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Fax | 615-523-1220
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Provider Business Mailing Address
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Address Line | 2699A HODY DR
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City | NASHVILLE
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State | TN
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Zip | 37206-1543
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Country | US
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Telephone | 423-677-7093
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Fax | 615-523-1220
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Authorized Official
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Title or Position | OWNER
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Name | BRITTANY ELLEN HENDRICKSON
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Credential | PT, DPT
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Telephone | 615-746-7121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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