Organization
ELEVATE TOTAL WELLNESS LLC
Active
Other names
The Movement Shop
Organization subpart
No
Provider details
NPI number
Authorized official
JESSE DAVENPORT (DIRECTOR)
(615) 714-8732
Entity
Organization
Contact information
Practice address
1647 NASHVILLE PIKE, GALLATIN, TN 37066
(615) 714-8732
(615) 442-7725
Mailing address
210 BABER PARK WEST, SUITE 160, GALLATIN, TN 37066
(615) 461-7833
(615) 442-7725
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
06/14/2022
Last updated
02/22/2024
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