Bradley Keith Cantrell, PTA

Physical Therapy Assistant · Jackson, TN

Individual Active NPI

NPI number 1801239264

Practice location

121 Physicians Dr
Jackson, TN 38305-6011
Phone
(731) 664-5050

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NPI record

NPI
1801239264
Entity type
Individual (Type 1)
Enumeration date
April 16, 2013
Last updated
April 16, 2013
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X 0000004604 TN

Mailing address

124 Bird House Ln
Selmer, TN 38375-4108

About Bradley Cantrell

Bradley Keith Cantrell, PTA is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 121 Physicians Dr, Jackson, TN 38305-6011. The NPI number 1801239264 was assigned on April 16, 2013 and the record was last updated on April 16, 2013.

Bradley Cantrell lists a license in the registry: #0000004604 (TN) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Bradley Keith Cantrell, PTA?

The NPI number is 1801239264.

What is the phone number of Bradley Cantrell?

The phone number listed for the practice location is (731) 664-5050.

Where is Bradley Cantrell located?

121 Physicians Dr, Jackson, TN 38305-6011.

What is the taxonomy code for Bradley Cantrell?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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