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Organization
THE THERAPY CENTER OF HENDERSONVILLE
Active
Organization
THE THERAPY CENTER OF HENDERSONVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLEY BRANTLEY SOUTHARD P.T. (PRESIDENT)
(615) 826-7113
Entity
Organization
Contact information
Practice address
139 MAPLE ROW BLVD, SUITE 202, HENDERSONVILLE, TN 37075-4487
(615) 826-7113
(615) 826-7139
Mailing address
139 MAPLE ROW BLVD, SUITE 202, HENDERSONVILLE, TN 37075-4487
(615) 826-7113
(615) 826-7139
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
01/09/2013
Last updated
01/09/2013
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