Provider Demographics
NPI:1346716271
Name:ZAVALIN, STEFAN (DPT)
Entity Type:Individual
Prefix:
First Name:STEFAN
Middle Name:
Last Name:ZAVALIN
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 CRESCENT CENTRE DR STE 300
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-7285
Mailing Address - Country:US
Mailing Address - Phone:615-656-0379
Mailing Address - Fax:615-656-0942
Practice Address - Street 1:6816 CHARLOTTE PIKE STE 103
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37209-4275
Practice Address - Country:US
Practice Address - Phone:615-356-0710
Practice Address - Fax:615-356-0711
Is Sole Proprietor?:No
Enumeration Date:2018-10-18
Last Update Date:2019-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN11876225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist