John Michael Funnell, PT, DPT
Physical Therapist in Fairburn, GA. Individual provider (NPI-1).
NPI number1164070751
StatusActive
Last updated in NPPESAug 28, 2019
Details
- NPI
- 1164070751
- Entity type
- Individual (NPI-1)
- Name
- John Michael Funnell
- Credential
- PT, DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 28, 2019
- Last updated
- Aug 28, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT014312 | GA | Yes |
Practice location
5370 Campbellton Fairburn Rd Ste 530Fairburn, GA 30213-2296
Phone 678-666-4146 · Fax 678-666-4148
Mailing address
6397 Lee Hwy Ste 300Chattanooga, TN 37421-4915
Phone 423-238-7217 · Fax 423-238-3473
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All 16 Physical Therapist providers in Fairburn · All 436 providers in Fairburn
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