Provider Demographics
NPI:1427768621
Name:MCMILLEN, HANNAH GRACE (DPT)
Entity type:Individual
Prefix:DR
First Name:HANNAH
Middle Name:GRACE
Last Name:MCMILLEN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:DR
Other - First Name:HANNAH
Other - Middle Name:GRACE
Other - Last Name:DEMEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:1202 N CREEK DR
Mailing Address - Street 2:
Mailing Address - City:MT JULIET
Mailing Address - State:TN
Mailing Address - Zip Code:37122-2593
Mailing Address - Country:US
Mailing Address - Phone:847-636-2362
Mailing Address - Fax:
Practice Address - Street 1:315 14TH AVE N
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-3416
Practice Address - Country:US
Practice Address - Phone:615-321-5698
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-29
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN14220225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist