Provider Demographics
NPI:1194013664
Name:BRADEN, ANDREW STEVEN (DPT)
Entity Type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:STEVEN
Last Name:BRADEN
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 CRESCENT CENTRE DR STE 300
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-7285
Mailing Address - Country:US
Mailing Address - Phone:615-373-1350
Mailing Address - Fax:615-221-9054
Practice Address - Street 1:7333 CHAPMAN HWY
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37920-6681
Practice Address - Country:US
Practice Address - Phone:865-862-3823
Practice Address - Fax:865-862-3824
Is Sole Proprietor?:No
Enumeration Date:2011-07-18
Last Update Date:2019-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN9046225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN0515373OtherCIGNA
TN6017551OtherBLUECROSS BLUESHIELD
TN1525179Medicaid
TN0515373OtherCIGNA