Provider Demographics
NPI:1730170325
Name:GARNER, MARK CLAY (PT)
Entity type:Individual
Prefix:MR
First Name:MARK
Middle Name:CLAY
Last Name:GARNER
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:PO BOX 306556
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37230-6556
Mailing Address - Country:US
Mailing Address - Phone:615-329-2294
Mailing Address - Fax:615-695-1494
Practice Address - Street 1:134 FRANKLIN RD STE 100
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-4689
Practice Address - Country:US
Practice Address - Phone:615-278-1632
Practice Address - Fax:615-263-0171
Is Sole Proprietor?:No
Enumeration Date:2005-11-02
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNPT6217225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3653799Medicaid
TN3658673Medicaid
TN3653799Medicaid
TN3658673Medicaid
TN0406260001Medicare NSC