Provider Demographics
NPI:1609268358
Name:HANKS, VALERY (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:VALERY
Middle Name:
Last Name:HANKS
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1215 21ST AVE S
Mailing Address - Street 2:SUITE 9211
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37232-8590
Mailing Address - Country:US
Mailing Address - Phone:615-936-5649
Mailing Address - Fax:615-936-5699
Practice Address - Street 1:1215 21ST AVE S
Practice Address - Street 2:SUITE 9211
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-8590
Practice Address - Country:US
Practice Address - Phone:615-936-5649
Practice Address - Fax:615-936-5699
Is Sole Proprietor?:No
Enumeration Date:2015-03-04
Last Update Date:2015-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2728225XN1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XN1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistNeurorehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN2728OtherTENNESSEE OCCUPATIONAL THERAPY LICENSE NUMBER