Provider Demographics
NPI:1346514353
Name:VANN, JOYCE DIANE (PT)
Entity Type:Individual
Prefix:MRS
First Name:JOYCE
Middle Name:DIANE
Last Name:VANN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2002 GREER RD
Mailing Address - Street 2:
Mailing Address - City:GOODLETTSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37072-7166
Mailing Address - Country:US
Mailing Address - Phone:615-859-5895
Mailing Address - Fax:615-851-3033
Practice Address - Street 1:2002 GREER RD
Practice Address - Street 2:
Practice Address - City:GOODLETTSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37072-7166
Practice Address - Country:US
Practice Address - Phone:615-859-5895
Practice Address - Fax:615-851-3033
Is Sole Proprietor?:No
Enumeration Date:2012-03-08
Last Update Date:2012-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNPT0000000923225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist