Provider Demographics
NPI:1932123825
Name:MANNING, DANA (PT)
Entity Type:Individual
Prefix:MRS
First Name:DANA
Middle Name:
Last Name:MANNING
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 1:1933 ELM HILL PIKE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37210-3711
Mailing Address - Country:US
Mailing Address - Phone:615-871-9096
Mailing Address - Fax:615-889-7653
Practice Address - Street 1:1933 ELM HILL PIKE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37210-3711
Practice Address - Country:US
Practice Address - Phone:615-871-9096
Practice Address - Fax:615-889-7653
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2007-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7102225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist