Provider Demographics
NPI:1982800926
Name:HASLAM, MOLLY CLAIRE (PHD, PT)
Entity Type:Individual
Prefix:DR
First Name:MOLLY
Middle Name:CLAIRE
Last Name:HASLAM
Suffix:
Gender:F
Credentials:PHD, PT
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:5025 HILLSBORO PIKE APT 23X
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-3779
Mailing Address - Country:US
Mailing Address - Phone:615-828-8772
Mailing Address - Fax:
Practice Address - Street 1:504 ELMINGTON AVE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-2508
Practice Address - Country:US
Practice Address - Phone:615-292-4900
Practice Address - Fax:615-297-7524
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNPT0000006417225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist