Provider Demographics
NPI:1073561874
Name:BROMFIELD, TASHA C (MPT)
Entity Type:Individual
Prefix:MS
First Name:TASHA
Middle Name:C
Last Name:BROMFIELD
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:TASHA
Other - Middle Name:C
Other - Last Name:GREER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:2021 RICHARD JONES RD
Mailing Address - Street 2:STE 180
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-2860
Mailing Address - Country:US
Mailing Address - Phone:615-298-8021
Mailing Address - Fax:615-298-8024
Practice Address - Street 1:2021 RICHARD JONES RD
Practice Address - Street 2:STE 180
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37215-2860
Practice Address - Country:US
Practice Address - Phone:615-298-8021
Practice Address - Fax:615-298-8024
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2020-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7338225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3645872Medicare ID - Type Unspecified