| Deniele Wilson, | |
|
127 Edenway Dr, White House, TN 37188-8140 | |
| (615) 672-8230 | |
| (615) 672-8977 |
| Full Name | Deniele Wilson |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 127 Edenway Dr, White House, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063835320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 9941 (Tennessee) | Primary |
| Provider Name | Inspired Pt Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1487377669 PECOS PAC ID: 6305214297 Enrollment ID: O20221128000761 |
| Mailing Address | Practice Location Address |
|---|---|
| Deniele Wilson, Po Box 681478, Franklin, TN 37068-1478 Ph: (615) 591-6590 | Deniele Wilson, 127 Edenway Dr, White House, TN 37188-8140 Ph: (615) 672-8230 |
Karen Fraser, BSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 127 Edenway Dr, White House, TN 37188 Phone: 615-672-8230 Fax: 615-672-8977 | |
Travis Duke, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 491 Sage Rd N Ste 1000, White House, TN 37188 Phone: 615-672-8230 Fax: 615-672-8977 | |
Mark S Vance, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 491 Sage Rd N, Ste. 1000, White House, TN 37188 Phone: 615-672-8230 Fax: 615-672-8977 | |
Progress In Motion, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 149 Raymond Hirsch Pkwy, Suite # 1, White House, TN 37188 Phone: 615-672-2977 Fax: 615-672-2979 | |
Hailey Shuttleworth, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 491 Sage Rd N Ste 1000, White House, TN 37188 Phone: 615-672-8230 Fax: 615-672-8977 | |
Mrs. Christine Dianne Rumsey, PHYSICAL THERAPIST Physical Therapist Medicare: Medicare Enrolled Practice Location: 149 Raymond Hirsch Pkwy, Suite # 1, White House, TN 37188 Phone: 615-672-2977 Fax: 615-672-2979 |