Provider Demographics
NPI:1801498845
Name:POWER PT AND PERFORMANCE TRAINING, P.C.
Entity type:Organization
Organization Name:POWER PT AND PERFORMANCE TRAINING, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:COURTNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:MEDLEN
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:256-431-8452
Mailing Address - Street 1:1491A WOODMONT BLVD
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-1629
Mailing Address - Country:US
Mailing Address - Phone:256-431-8452
Mailing Address - Fax:
Practice Address - Street 1:1886 GENERAL GEORGE PATTON DR
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-2650
Practice Address - Country:US
Practice Address - Phone:256-431-8452
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-13
Last Update Date:2020-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty