Mrs. Amy Lynn Grissom
Physical Therapy Assistant
608 8th Ave E
Springfield
, Tennessee 37188
Mrs. Amy Lynn Grissom
Physical Therapy Assistant
608 8th Ave E
Springfield
, Tennessee 37188
(615) 384-9350
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About
Features
Specialties
- Physical Therapy Assistant
Languages spoken
- English
Location
First Address
- Mrs. Amy Lynn Grissom
- 107 Spicer Ct
- White House, TN
- Zip : 37188
- Fax : (615) 384-9350
- Phone : (615) 672-8047
Second Address
- Mrs. Amy Lynn Grissom
- 608 8th Ave E
- Springfield, TN
- Zip : 37188
- Fax : (615) 384-9350
- Phone : (615) 384-8453
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | PTA835 | TN |
National Provider Identifier
| NPI | 1003978206 |
|---|---|
| Provider Name | Mrs. Amy Lynn Grissom |
| First Address | White House, TN 37188 |
| Second Address | Springfield, TN 37188 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/12/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.