Provider Demographics
NPI:1598077984
Name:ELLISON, MARGARET K (DPT)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:K
Last Name:ELLISON
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:
Other - Last Name:FEYEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:PO BOX 306393
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37230-6393
Mailing Address - Country:US
Mailing Address - Phone:615-373-1350
Mailing Address - Fax:615-221-9054
Practice Address - Street 1:921 GALLATIN AVE STE 102
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37206-3229
Practice Address - Country:US
Practice Address - Phone:629-777-1520
Practice Address - Fax:629-777-1521
Is Sole Proprietor?:No
Enumeration Date:2010-07-14
Last Update Date:2021-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN8736225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist