Provider Demographics
NPI:1841809340
Name:DREADEN, KATLYNNE (DPT)
Entity type:Individual
Prefix:
First Name:KATLYNNE
Middle Name:
Last Name:DREADEN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:KATLYNNE
Other - Middle Name:
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:PO BOX 306393
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37230-6393
Mailing Address - Country:US
Mailing Address - Phone:615-373-1350
Mailing Address - Fax:
Practice Address - Street 1:181 HUGHES RD STE 1B
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-1146
Practice Address - Country:US
Practice Address - Phone:256-850-1155
Practice Address - Fax:256-513-7833
Is Sole Proprietor?:No
Enumeration Date:2020-07-30
Last Update Date:2021-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH10106225100000X
225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist