Provider Demographics
NPI:1053393165
Name:CURRAN, DONNA GAIL (PT)
Entity type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:GAIL
Last Name:CURRAN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 N SPRING ST
Mailing Address - Street 2:
Mailing Address - City:SPARTA
Mailing Address - State:TN
Mailing Address - Zip Code:38583-1330
Mailing Address - Country:US
Mailing Address - Phone:931-836-3446
Mailing Address - Fax:931-836-3519
Practice Address - Street 1:550 N SPRING ST
Practice Address - Street 2:
Practice Address - City:SPARTA
Practice Address - State:TN
Practice Address - Zip Code:38583-1330
Practice Address - Country:US
Practice Address - Phone:931-836-3446
Practice Address - Fax:931-836-3519
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNPT0000001290225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN2007917OtherBLUECROSS BLUESHIELD ID
TN3650846Medicare ID - Type Unspecified