Black Southall, Shanell L

Black Southall, Shanell L is an sole proprietor health care provider with primary practice located at 9303 Preston Run , Goodlettsville TN 37072-1942. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Black Southall, Shanell L can be contacted via phone (615) 260-2978.

Contact Information

Primary practice address
9303 Preston Run Goodlettsville TN 37072-1942
Phone: (615) 260-2978
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 5565 Tennessee
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 3691 Tennessee

Profile Details

NPI number 1508015843
LBN Legal business name Black Southall, Shanell L
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 10th, 2008
Last updated Aug 4th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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