Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PHILLIP D HEADRICK, PT
ActivePhysical Therapy Assistant · ANTIOCH, TN
Registration Details
- NPI Number
- 1164486916
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 17, 2006 (20.012713306314 yrs)
- Last Updated
- Apr 7, 2016
- Licenses
-
PTH7016 (AL)5498 (TN)
Practice Information
- Address
-
889B BELL RDSTE A-7AANTIOCH, TN, 370133101Browse TN providers · Browse ZIP 37013
- Phone
- 6157176262
- Fax
- 6157176890
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in ANTIOCH, TN
| Name | Credential | NPI |
|---|---|---|
| KARL SHELBY PALM | P.T. | 1700909421 |
| MRS. ERIN MACKAY GATGENS | LPT, DPT | 1639378458 |
| STACEY RENEE HUNTER | P.T. | 1659690964 |
| EMILY ANTHONY ANDRY | DPT | 1730451519 |
| ZACKARY FEDORKA | DPT | 1508279084 |
| CHRISTOPHER JAMES MOBERG | PT | 1457804130 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.