Provider Demographics
NPI:1992256267
Name:NULIFE PHYSICAL THERAPY, INC
Entity type:Organization
Organization Name:NULIFE PHYSICAL THERAPY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:GRETCHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:615-513-2444
Mailing Address - Street 1:121 S WATER AVE
Mailing Address - Street 2:
Mailing Address - City:GALLATIN
Mailing Address - State:TN
Mailing Address - Zip Code:37066-2902
Mailing Address - Country:US
Mailing Address - Phone:615-513-2444
Mailing Address - Fax:
Practice Address - Street 1:5426 HIGHWAY 31 E
Practice Address - Street 2:STE B
Practice Address - City:WESTMORELAND
Practice Address - State:TN
Practice Address - Zip Code:37186-2115
Practice Address - Country:US
Practice Address - Phone:615-513-2444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-20
Last Update Date:2016-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)