Organization
STATE OF TENNESSEE
Active
Organization
STATE OF TENNESSEE
Active
Other names
Tennessee Department of Intellectual and Developmental Disabilities
Organization subpart
No
Provider details
NPI number
Authorized official
ANDY KIDD (DEPUTY COMMISSIONER)
(615) 253-6710
Entity
Organization
Contact information
Practice address
301 STEWARTS FERRY PIKE, NASHVILLE, TN 37214-3340
(615) 231-5147
(615) 886-9972
Mailing address
315 DEADERICK ST FL 8, NASHVILLE, TN 37238-3000
(615) 532-6530
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q017827
—
TN
Enumeration date
06/08/2015
Last updated
06/05/2024
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