Basic Information
Provider Information
NPI: 1669472411
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AUDIENS
FirstName: GEERT
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: P.T.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 800 CRESCENT CENTRE DR
Address2: STE 600
City: FRANKLIN
State: TN
PostalCode: 370677286
CountryCode: US
TelephoneNumber: 6159330996
FaxNumber: 6155385319
Practice Location
Address1: 112 GRAND HILL PL
Address2:  
City: HOLLY SPRINGS
State: NC
PostalCode: 275404416
CountryCode: US
TelephoneNumber: 9193465815
FaxNumber: 9193465816
Other Information
ProviderEnumerationDate: 07/22/2005
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000X6947NCY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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