1881043917 NPI number — GABRIELLE ALYSSA BROADBENT PT, DPT

Table of content: GABRIELLE ALYSSA BROADBENT PT, DPT (NPI 1881043917)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881043917 NPI number — GABRIELLE ALYSSA BROADBENT PT, DPT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BROADBENT
Provider First Name:
GABRIELLE
Provider Middle Name:
ALYSSA
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PT, DPT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
PRICE
Provider Other First Name:
GABRIELLE
Provider Other Middle Name:
ALYSSA
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
PT, DPT
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1881043917
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/12/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8823 PRODUCTION LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OOLTEWAH
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37363-6511
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
423-238-7217
Provider Business Mailing Address Fax Number:
423-238-3473

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2946 WINFIELD DUNN PKWY
Provider Second Line Business Practice Location Address:
STE 106
Provider Business Practice Location Address City Name:
KODAK
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37764-4306
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
865-932-1088
Provider Business Practice Location Address Fax Number:
865-932-1454
Provider Enumeration Date:
06/09/2016

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  10828 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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