Provider Demographics
NPI:1760698385
Name:SINGER, JOHANNA SHAW (PT)
Entity Type:Individual
Prefix:MRS
First Name:JOHANNA
Middle Name:SHAW
Last Name:SINGER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3139 VERA VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-2105
Mailing Address - Country:US
Mailing Address - Phone:615-794-2781
Mailing Address - Fax:
Practice Address - Street 1:3139 VERA VALLEY RD
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37064-2105
Practice Address - Country:US
Practice Address - Phone:615-794-2781
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNPT0000005580225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist