Provider Demographics
NPI: | 1730213372 |
---|---|
Name: | ROHLING, AMBER DAWN (PT ATC) |
Entity type: | Individual |
Prefix: | MRS |
First Name: | AMBER |
Middle Name: | DAWN |
Last Name: | ROHLING |
Suffix: | |
Gender: | F |
Credentials: | PT ATC |
Other - Prefix: | MISS |
Other - First Name: | AMBER |
Other - Middle Name: | DAWN |
Other - Last Name: | MCKEE |
Other - Suffix: | |
Other - Last Name Type: | Former Name |
Other - Credentials: | PT ATC |
Mailing Address - Street 1: | 126 AUBURN CT |
Mailing Address - Street 2: | |
Mailing Address - City: | MURFREESBORO |
Mailing Address - State: | TN |
Mailing Address - Zip Code: | 37128 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 615-849-8786 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 420 N UNIVERSITY |
Practice Address - Street 2: | |
Practice Address - City: | MURFREESBORO |
Practice Address - State: | TN |
Practice Address - Zip Code: | 37130 |
Practice Address - Country: | US |
Practice Address - Phone: | 615-473-7693 |
Practice Address - Fax: | |
Is Sole Proprietor?: | No |
Enumeration Date: | 2007-03-15 |
Last Update Date: | 2007-07-08 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
TN | PT0000007231 | 225100000X |
TN | AT0000000909 | 2255A2300X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Not Answered | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | |
Not Answered | 2255A2300X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Specialist/Technologist | Athletic Trainer |