Provider Demographics
NPI:1962773713
Name:VANCE, EMILY JEANNETTE SKELLY (DPT)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:JEANNETTE SKELLY
Last Name:VANCE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:JEANNETTE
Other - Last Name:SKELLY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:2007 E STIRLING CT
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-9415
Mailing Address - Country:US
Mailing Address - Phone:615-289-8448
Mailing Address - Fax:
Practice Address - Street 1:230 NEW SHACKLE ISLAND RD STE 120
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-2484
Practice Address - Country:US
Practice Address - Phone:615-989-0660
Practice Address - Fax:615-989-0661
Is Sole Proprietor?:No
Enumeration Date:2012-01-25
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN91762251X0800X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic