Provider Demographics
NPI:1255469102
Name:ENSOR, ANNE WHITNEY (DPT, WCS)
Entity Type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:WHITNEY
Last Name:ENSOR
Suffix:
Gender:F
Credentials:DPT, WCS
Other - Prefix:
Other - First Name:ANNE
Other - Middle Name:WHITNEY
Other - Last Name:TUCKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:800 CRESCENT CENTRE DR STE 600
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-7286
Mailing Address - Country:US
Mailing Address - Phone:615-373-7116
Mailing Address - Fax:615-221-9054
Practice Address - Street 1:6420 DUTCHMANS PKWY STE 160
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40205-3353
Practice Address - Country:US
Practice Address - Phone:502-373-1050
Practice Address - Fax:502-373-1051
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2020-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05004742225100000X
KY002620225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist