Provider Demographics
NPI:1043490626
Name:TROTTER, DONNA A (PT, SCS)
Entity Type:Individual
Prefix:MISS
First Name:DONNA
Middle Name:A
Last Name:TROTTER
Suffix:
Gender:F
Credentials:PT, SCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5115 KINCANNON DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37220-2003
Mailing Address - Country:US
Mailing Address - Phone:615-491-5838
Mailing Address - Fax:
Practice Address - Street 1:AMPLITUDE SPORTS AND REHABILITATION
Practice Address - Street 2:5115 KINCANNON DRIVE
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37220-2003
Practice Address - Country:US
Practice Address - Phone:615-491-5838
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-12
Last Update Date:2018-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN20672251P0200X, 2251S0007X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
No2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports