Provider Demographics
NPI:1629504667
Name:GORDEY, LAURA DAVIDSON (PT, DPT, PCES)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:DAVIDSON
Last Name:GORDEY
Suffix:
Gender:F
Credentials:PT, DPT, PCES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:574 FRANKLIN RD STE 200
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37069-8214
Mailing Address - Country:US
Mailing Address - Phone:615-933-9347
Mailing Address - Fax:
Practice Address - Street 1:574 FRANKLIN RD STE 200
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37069-8214
Practice Address - Country:US
Practice Address - Phone:615-933-9347
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-11
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA09621225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist