Provider Demographics
NPI:1245935881
Name:FALL FIGHTERS, LLC
Entity type:Organization
Organization Name:FALL FIGHTERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AREA REPRESENTATIVE
Authorized Official - Prefix:
Authorized Official - First Name:WIL
Authorized Official - Middle Name:
Authorized Official - Last Name:PUTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-219-6242
Mailing Address - Street 1:PO BOX 40880
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37204-0880
Mailing Address - Country:US
Mailing Address - Phone:615-219-6242
Mailing Address - Fax:615-623-9734
Practice Address - Street 1:4694 LEBANON PIKE
Practice Address - Street 2:
Practice Address - City:HERMITAGE
Practice Address - State:TN
Practice Address - Zip Code:37076-1314
Practice Address - Country:US
Practice Address - Phone:615-623-9733
Practice Address - Fax:615-623-9734
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-03
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy