Provider Demographics
NPI:1902280183
Name:INTEGRITY REHABILITATION GROUP
Entity Type:Organization
Organization Name:INTEGRITY REHABILITATION GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HAND THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:CLAIRE
Authorized Official - Last Name:CANNON
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:615-300-2846
Mailing Address - Street 1:310 JEFFERSON ST
Mailing Address - Street 2:APT# 201
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37208-2770
Mailing Address - Country:US
Mailing Address - Phone:615-300-2846
Mailing Address - Fax:
Practice Address - Street 1:1029 W MAIN ST
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:TN
Practice Address - Zip Code:37087-3351
Practice Address - Country:US
Practice Address - Phone:615-466-5200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-16
Last Update Date:2015-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4922261QR0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)