Provider Demographics
NPI:1932227238
Name:ZWERNER, BARBARA M (PT)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:M
Last Name:ZWERNER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:M
Other - Last Name:MACEREN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:3415 W END AVE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1077
Mailing Address - Country:US
Mailing Address - Phone:615-891-4037
Mailing Address - Fax:615-457-1796
Practice Address - Street 1:3415 W END AVE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1077
Practice Address - Country:US
Practice Address - Phone:615-891-4037
Practice Address - Fax:615-457-1796
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2014-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPT151542251S0007X
TN8926225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALPT15154OtherPTLICENSE
TN8926OtherSTATE OF TN DIVISION OF HEALTH RELATED BOARDS