Provider Demographics
NPI:1760986459
Name:OWENS, WILLIAM CLAYTON (DPT)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:CLAYTON
Last Name:OWENS
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:512 OLD HICKORY BLVD APT 1517
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-5197
Mailing Address - Country:US
Mailing Address - Phone:270-316-7636
Mailing Address - Fax:
Practice Address - Street 1:34 WHITE BRIDGE RD
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-1473
Practice Address - Country:US
Practice Address - Phone:615-353-6181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-19
Last Update Date:2018-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000011439225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist