Provider Demographics
NPI:1972649481
Name:ACCESS & MOBILITY, INC.
Entity Type:Organization
Organization Name:ACCESS & MOBILITY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:KEN
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:WOODSON
Authorized Official - Suffix:
Authorized Official - Credentials:ATS, CRTS
Authorized Official - Phone:615-533-1933
Mailing Address - Street 1:945 BARNES RD
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:TN
Mailing Address - Zip Code:37013-4418
Mailing Address - Country:US
Mailing Address - Phone:615-533-1933
Mailing Address - Fax:615-834-4782
Practice Address - Street 1:945 BARNES RD
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:TN
Practice Address - Zip Code:37013-4418
Practice Address - Country:US
Practice Address - Phone:615-533-1933
Practice Address - Fax:615-834-4782
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN113486171WH0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN00E52OtherDMRS
TN00E40OtherDMRS