Provider Demographics
NPI:1346202314
Name:GREER, DANA ASHLEY (BSPT)
Entity type:Individual
Prefix:MRS
First Name:DANA
Middle Name:ASHLEY
Last Name:GREER
Suffix:
Gender:F
Credentials:BSPT
Other - Prefix:MISS
Other - First Name:DANA
Other - Middle Name:ASHLEY
Other - Last Name:FARTHING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSPT
Mailing Address - Street 1:2120 HIGHWAY 46 S STE B
Mailing Address - Street 2:
Mailing Address - City:DICKSON
Mailing Address - State:TN
Mailing Address - Zip Code:37055-5953
Mailing Address - Country:US
Mailing Address - Phone:615-446-7696
Mailing Address - Fax:615-441-3032
Practice Address - Street 1:2120 HIGHWAY 46 S STE B
Practice Address - Street 2:
Practice Address - City:DICKSON
Practice Address - State:TN
Practice Address - Zip Code:37055-5953
Practice Address - Country:US
Practice Address - Phone:615-446-7696
Practice Address - Fax:615-441-3032
Is Sole Proprietor?:No
Enumeration Date:2006-04-05
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5841225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN446631Medicare ID - Type UnspecifiedGROUP