Provider Demographics
NPI:1326431511
Name:OLIVA, BRIANNA RENAE (DPT)
Entity Type:Individual
Prefix:DR
First Name:BRIANNA
Middle Name:RENAE
Last Name:OLIVA
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:DR
Other - First Name:BRIANNA
Other - Middle Name:RENAE
Other - Last Name:HINNENKAMP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
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:615-373-1350
Mailing Address - Fax:615-221-9054
Practice Address - Street 1:1300 DACY LN STE 100
Practice Address - Street 2:
Practice Address - City:KYLE
Practice Address - State:TX
Practice Address - Zip Code:78640
Practice Address - Country:US
Practice Address - Phone:512-213-8001
Practice Address - Fax:512-436-0874
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-11
Last Update Date:2019-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1255990225100000X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist