Organization · NPI-2
Advanced Health And Wellness Center Of Nashville LLC
Physical Medicine & Rehabilitation · Franklin, TN
NPI number1265849228
StatusActive
Last updated in NPPESApr 9, 2015
Details
- NPI
- 1265849228
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Health And Wellness Center Of Nashville LLC
- Organization subpart
- No
- Enumeration date
- Jul 22, 2014
- Last updated
- Apr 9, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | – | – | Yes |
Practice location
2001 Mallory LnSuite 301
Franklin, TN 37067-8233
Phone 615-905-0120 · Fax 615-778-2900
Mailing address
201 Great Oaks TrlWadsworth, OH 44281-9430
Phone 330-336-9500
Authorized official
Brandon Bupp
Owner
3303369500
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