Provider Demographics
NPI:1447585179
Name:SVENBY, MATT (ATC)
Entity Type:Individual
Prefix:
First Name:MATT
Middle Name:
Last Name:SVENBY
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6900 LENOX VILLAGE DR
Mailing Address - Street 2:345
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-7284
Mailing Address - Country:US
Mailing Address - Phone:615-418-1026
Mailing Address - Fax:
Practice Address - Street 1:MEDICAL CENTER EAST SOUTH TOWER
Practice Address - Street 2:SUITE 3200
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-0001
Practice Address - Country:US
Practice Address - Phone:615-418-1026
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-14
Last Update Date:2009-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN13202255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer