Provider Demographics
NPI:1033171616
Name:PURDY, JOHN DAVID (MS, ATC, NSCA-CPT)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:DAVID
Last Name:PURDY
Suffix:
Gender:M
Credentials:MS, ATC, NSCA-CPT
Other - Prefix:MRS
Other - First Name:ELAINE
Other - Middle Name:BIRD
Other - Last Name:PURDY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS
Mailing Address - Street 1:6635 JOCELYN HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-3910
Mailing Address - Country:US
Mailing Address - Phone:615-356-2864
Mailing Address - Fax:615-343-7645
Practice Address - Street 1:MDICAL CENTER EAST, SOUTH TOWER, SUITE 3200
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-0001
Practice Address - Country:US
Practice Address - Phone:615-343-1161
Practice Address - Fax:615-343-7645
Is Sole Proprietor?:No
Enumeration Date:2006-04-06
Last Update Date:2007-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAT4942255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer