Provider Demographics
NPI:1659231983
Name:BANNOW, ROBIN (PT,DPT)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:
Last Name:BANNOW
Suffix:
Gender:F
Credentials:PT,DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10721 CHAPMAN HWY STE 28
Mailing Address - Street 2:
Mailing Address - City:SEYMOUR
Mailing Address - State:TN
Mailing Address - Zip Code:37865-4767
Mailing Address - Country:US
Mailing Address - Phone:865-322-9252
Mailing Address - Fax:865-322-9252
Practice Address - Street 1:10721 CHAPMAN HWY STE 28
Practice Address - Street 2:
Practice Address - City:SEYMOUR
Practice Address - State:TN
Practice Address - Zip Code:37865-4767
Practice Address - Country:US
Practice Address - Phone:865-322-9252
Practice Address - Fax:865-322-9252
Is Sole Proprietor?:No
Enumeration Date:2025-11-18
Last Update Date:2025-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN168642081P0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPediatric Rehabilitation Medicine