Basic Information
| Provider Information | |||||||||
| NPI: | 1104344381 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | TOMASSONI | ||||||||
| FirstName: | KELSEY | ||||||||
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| Credential: | PT, DPT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 14 TWIN OAKS DR | ||||||||
| Address2: | |||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 372112737 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6185542888 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2004 HAYES ST STE 545 | ||||||||
| Address2: | |||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 372032655 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6152847555 | ||||||||
| FaxNumber: | 6152847075 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/07/2017 | ||||||||
| LastUpdateDate: | 01/11/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 11389 | TN | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.