Provider Demographics
NPI:1386952273
Name:JENNINGS, DAVID (PT, DPT, SCS, CMTPT)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:JENNINGS
Suffix:
Gender:M
Credentials:PT, DPT, SCS, CMTPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:152 BURBERRY GLEN BLVD
Mailing Address - Street 2:
Mailing Address - City:NOLENSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37135-2102
Mailing Address - Country:US
Mailing Address - Phone:615-878-7595
Mailing Address - Fax:
Practice Address - Street 1:615 BAKERS BRIDGE AVE STE 110
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-1801
Practice Address - Country:US
Practice Address - Phone:615-465-6810
Practice Address - Fax:615-465-6817
Is Sole Proprietor?:No
Enumeration Date:2010-09-14
Last Update Date:2019-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN13862255A2300X
TN104832251S0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer