Individual
MARK S VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
491 SAGE RD N, STE. 1000, WHITE HOUSE, TN 37188-9360
(615) 672-8230
(615) 672-8977
Mailing address
PO BOX 681478, FRANKLIN, TN 37068-1478
(615) 591-6590
(615) 591-6601
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10379
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000048012
ANTHEM
KY
01
—
3827598001
CIGNA
KY
Enumeration date
11/08/2005
Last updated
08/18/2015
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