Provider Demographics
NPI:1922110386
Name:MOSELEY, DONALD G
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:G
Last Name:MOSELEY
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 1:208 MANLEY CT
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37069-6214
Mailing Address - Country:US
Mailing Address - Phone:615-972-2080
Mailing Address - Fax:
Practice Address - Street 1:460 GREAT CIRCLE RD
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37228-1404
Practice Address - Country:US
Practice Address - Phone:615-565-4089
Practice Address - Fax:615-565-4092
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2013-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3342255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer