Provider Demographics
NPI:1558054056
Name:FLATTS, NAZARINE ALCOBER
Entity Type:Individual
Prefix:
First Name:NAZARINE
Middle Name:ALCOBER
Last Name:FLATTS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 WILLIAM TERRY DR
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:TN
Mailing Address - Zip Code:37167-2423
Mailing Address - Country:US
Mailing Address - Phone:615-870-4754
Mailing Address - Fax:
Practice Address - Street 1:205 WILLIAM TERRY DR
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:TN
Practice Address - Zip Code:37167-2423
Practice Address - Country:US
Practice Address - Phone:615-870-4754
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-31
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5293225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant