Provider Demographics
NPI:1801224712
Name:PERE, JAVIER ANDRES
Entity Type:Individual
Prefix:
First Name:JAVIER
Middle Name:ANDRES
Last Name:PERE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3100 VILLAGE PLAINS DR STE 160
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-4114
Mailing Address - Country:US
Mailing Address - Phone:629-239-3170
Mailing Address - Fax:629-201-7205
Practice Address - Street 1:3100 VILLAGE PLAINS DR STE 160
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37064-4114
Practice Address - Country:US
Practice Address - Phone:629-239-3170
Practice Address - Fax:629-239-3170
Is Sole Proprietor?:No
Enumeration Date:2013-10-31
Last Update Date:2023-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN10199225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist