Bradley Keith Cantrell, PTA
Physical Therapy Assistant in Jackson, TN. Individual provider (NPI-1).
NPI number1801239264
StatusActive
Last updated in NPPESApr 16, 2013
Details
- NPI
- 1801239264
- Entity type
- Individual (NPI-1)
- Name
- Mr. Bradley Keith Cantrell
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 16, 2013
- Last updated
- Apr 16, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 0000004604 | TN | Yes |
Practice location
121 Physicians DrJackson, TN 38305-6011
Phone 731-664-5050
Mailing address
124 Bird House LnSelmer, TN 38375-4108
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Physical Therapy Assistant providers in Jackson, TN
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- Nathaniel Bishop, PTANPI 1861176539
- Vivian BlackmerNPI 1770492258
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- Jase Blakney, PTANPI 1538554654
- Elizabeth West Bridger, PTANPI 1740411156
- Benjamin CantrellNPI 1477800142
All 73 Physical Therapy Assistant providers in Jackson · All 3,212 providers in Jackson
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