Provider Demographics
NPI:1831641869
Name:FOLD, CALLIE (DPT)
Entity Type:Individual
Prefix:
First Name:CALLIE
Middle Name:
Last Name:FOLD
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:1880 GENERAL GEORGE PATTON DR
Mailing Address - Street 2:SUITE 202B
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-6409
Mailing Address - Country:US
Mailing Address - Phone:615-377-1623
Mailing Address - Fax:615-377-1625
Practice Address - Street 1:1880 GENERAL GEORGE PATTON DR
Practice Address - Street 2:SUITE 202B
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-6409
Practice Address - Country:US
Practice Address - Phone:615-377-1623
Practice Address - Fax:615-377-1625
Is Sole Proprietor?:No
Enumeration Date:2016-10-25
Last Update Date:2016-10-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN90542251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics