Provider Demographics
NPI:1609064781
Name:ERWIN, BRIANNE TIFFANY (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:BRIANNE
Middle Name:TIFFANY
Last Name:ERWIN
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3709 MISTY WAY
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37042-8513
Mailing Address - Country:US
Mailing Address - Phone:931-624-9110
Mailing Address - Fax:
Practice Address - Street 1:1301 22ND AVE SOUTH
Practice Address - Street 2:VUMC
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-0001
Practice Address - Country:US
Practice Address - Phone:615-343-8383
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-14
Last Update Date:2007-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7852225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist