Individual
BRANDON K. HOLLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, LATC
Contact information
Practice address
2400 PATTERSON ST, SUITE 100, NASHVILLE, TN 37203-1562
(615) 324-0065
(615) 329-4469
Mailing address
2400 PATTERSON ST, SUITE 100, NASHVILLE, TN 37203-1562
(731) 234-4962
(615) 329-4469
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6042
TN
225100000X
Physical Therapist
PT 29055
FL
2255A2300X
Athletic Trainer
AL 3791
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3646021
MEDICARE PTAN
TN
01
—
4223131
BCBS
TN
Enumeration date
03/30/2006
Last updated
02/23/2017
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