Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 13734 | TN |
N | 2251P0200X | Physical Therapist - Pediatrics | 13734 | TN |
NPI | 1013687102 |
---|---|
Provider Name | Caylee Cantrell |
First Address | Franklin, TN 37069-4110 |
Second Address | Franklin, TN 37067-4847 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2021 |
Last Update Date | 20/09/2021 |