Provider Demographics
NPI:1285023259
Name:VANDERBILT ORTHOPAEDICS AND REHABILITATION COOL SPRINGS
Entity Type:Organization
Organization Name:VANDERBILT ORTHOPAEDICS AND REHABILITATION COOL SPRINGS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ATHLETIC TRAINER
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:STEPHEN
Authorized Official - Last Name:COLLSEN
Authorized Official - Suffix:
Authorized Official - Credentials:MS, ATC
Authorized Official - Phone:615-927-7021
Mailing Address - Street 1:2312 ELLISTON PL APT 514
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-5408
Mailing Address - Country:US
Mailing Address - Phone:630-779-6067
Mailing Address - Fax:
Practice Address - Street 1:324 COOL SPRINGS BLVD
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-1631
Practice Address - Country:US
Practice Address - Phone:615-790-4280
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-14
Last Update Date:2015-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN00000018532255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic TrainerGroup - Single Specialty