Provider Demographics
NPI:1225493398
Name:TURNER, CHRISTOPHER BRUCE
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:BRUCE
Last Name:TURNER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1022 PUSHER PL
Mailing Address - Street 2:
Mailing Address - City:ROCKVALE
Mailing Address - State:TN
Mailing Address - Zip Code:37153-4190
Mailing Address - Country:US
Mailing Address - Phone:615-924-9000
Mailing Address - Fax:
Practice Address - Street 1:1022 PUSHER PLACE
Practice Address - Street 2:
Practice Address - City:ROCKVALE
Practice Address - State:TN
Practice Address - Zip Code:37153
Practice Address - Country:US
Practice Address - Phone:615-924-9000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-16
Last Update Date:2015-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4929225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN0000004929Medicare NSC