Provider Demographics
NPI:1497089940
Name:HARVEY, REBECCA NIKOLE (ATC/L)
Entity Type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:NIKOLE
Last Name:HARVEY
Suffix:
Gender:F
Credentials:ATC/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6001 OLD HICKORY BLVD
Mailing Address - Street 2:APT. 265
Mailing Address - City:HERMITAGE
Mailing Address - State:TN
Mailing Address - Zip Code:37076-3088
Mailing Address - Country:US
Mailing Address - Phone:615-630-0954
Mailing Address - Fax:
Practice Address - Street 1:3200 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:615-630-0954
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-30
Last Update Date:2009-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN13322255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer