Richard Bradford Atlee, DPT

Individual provider Active NPI Physical Therapist · Mountain Home, TN

NPI 1003112285 · NPPES record last updated Feb 4, 2011

Key facts

NPI
1003112285
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
8868 (TN)
Practice address
Corner of Lamont & Veterans Way
Mountain Home, TN 37684
Phone
(423) 926-1171
NPI assigned
Feb 4, 2011
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
8868TNMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 8868 TN Yes

Addresses

Primary practice location

Corner of Lamont & Veterans Way
Mountain Home, TN 37684

Mailing address

PO Box 4000
Mountain Home, TN 37684-4000
Phone (423) 926-1171

Other providers in Mountain Home, TN

All providers in Mountain Home, TN · Physical Therapist in Tennessee

Sources for this page

Verify at the official NPI Registry.