Provider Demographics
NPI:1093282865
Name:GLEASON, TERRI-LEE
Entity Type:Individual
Prefix:
First Name:TERRI-LEE
Middle Name:
Last Name:GLEASON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1173 ROCK SPRINGS RD STE 105
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:TN
Mailing Address - Zip Code:37167-8414
Mailing Address - Country:US
Mailing Address - Phone:615-302-2121
Mailing Address - Fax:615-226-2839
Practice Address - Street 1:230 GREAT CIRCLE RD STE 202
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37228-1710
Practice Address - Country:US
Practice Address - Phone:615-226-2840
Practice Address - Fax:615-226-2839
Is Sole Proprietor?:No
Enumeration Date:2018-10-30
Last Update Date:2018-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist