Provider Demographics
NPI:1548654239
Name:HORNER, CHRISTY SANDERS (OTR/L, CDRS)
Entity type:Individual
Prefix:
First Name:CHRISTY
Middle Name:SANDERS
Last Name:HORNER
Suffix:
Gender:F
Credentials:OTR/L, CDRS
Other - Prefix:
Other - First Name:CHRISTY
Other - Middle Name:SANDERS
Other - Last Name:STANLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1215 21ST AVENUE SOUTH
Mailing Address - Street 2:SUITE 9211
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37232-8590
Mailing Address - Country:US
Mailing Address - Phone:615-936-5651
Mailing Address - Fax:615-936-5699
Practice Address - Street 1:1215 21ST AVENUE SOUTH
Practice Address - Street 2:SUITE 9211
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-8590
Practice Address - Country:US
Practice Address - Phone:615-936-5651
Practice Address - Fax:615-936-5699
Is Sole Proprietor?:No
Enumeration Date:2015-03-20
Last Update Date:2015-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1375225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation