Provider Demographics
NPI:1477348373
Name:HIGHLANDS PELVIC HEALTH, FITNESS AND PHYSICAL THERAPY LLC
Entity type:Organization
Organization Name:HIGHLANDS PELVIC HEALTH, FITNESS AND PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GABRIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:KANADY
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:423-463-0155
Mailing Address - Street 1:1383 JACKSON MILL DR
Mailing Address - Street 2:
Mailing Address - City:HIXSON
Mailing Address - State:TN
Mailing Address - Zip Code:37343-3383
Mailing Address - Country:US
Mailing Address - Phone:423-463-0155
Mailing Address - Fax:
Practice Address - Street 1:1383 JACKSON MILL DR
Practice Address - Street 2:
Practice Address - City:HIXSON
Practice Address - State:TN
Practice Address - Zip Code:37343-3383
Practice Address - Country:US
Practice Address - Phone:423-463-0155
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-11
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty