Provider Demographics
NPI:1306997788
Name:WEST, JOANNA C
Entity type:Individual
Prefix:
First Name:JOANNA
Middle Name:C
Last Name:WEST
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JOANNA
Other - Middle Name:L
Other - Last Name:COOK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:725 SINCLAIR CIR
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-3002
Mailing Address - Country:US
Mailing Address - Phone:615-377-1122
Mailing Address - Fax:
Practice Address - Street 1:2117 HILLSBORO RD
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37069-6223
Practice Address - Country:US
Practice Address - Phone:615-591-3244
Practice Address - Fax:615-591-3454
Is Sole Proprietor?:No
Enumeration Date:2007-01-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNOT0000001422225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist