Provider Demographics
NPI:1114134319
Name:TURNER, GRETCHEN LEA (MSPT,CLT)
Entity Type:Individual
Prefix:MS
First Name:GRETCHEN
Middle Name:LEA
Last Name:TURNER
Suffix:
Gender:F
Credentials:MSPT,CLT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2510 MURFREESBORO PIKE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37217-3582
Mailing Address - Country:US
Mailing Address - Phone:615-695-0095
Mailing Address - Fax:615-399-6901
Practice Address - Street 1:2510 MURFREESBORO PIKE
Practice Address - Street 2:SUITE 2
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37217-3582
Practice Address - Country:US
Practice Address - Phone:615-695-0095
Practice Address - Fax:615-399-6901
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2013-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7822225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN446631Medicare UPIN