Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | PTL.0016698 | CO |
N | 2251S0007X | Physical Therapist - Sports | PTL.0016698 | CO |
NPI | 1316975493 |
---|---|
Provider Name | Charlene R Challenger-Smith |
First Address | Franklin, TN 37067-8233 |
Second Address | Nashville, TN 37203-1606 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2006 |
Last Update Date | 24/01/2020 |