Bryan Barnett
Individual provider Active NPI Physical Therapy Assistant · Humboldt, TN
NPI 1154890101 · NPPES record last updated Nov 20, 2018
Key facts
- NPI
- 1154890101
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 6527 (TN)
- Practice address
- 134 Bob Hazelwood Rd
Humboldt, TN 38343-5835 - Phone
- (731) 487-4133
- NPI assigned
- Nov 20, 2018
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6527 | TN | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 6527 | TN | Yes |
Addresses
Primary practice location
134 Bob Hazelwood Rd
Humboldt, TN 38343-5835
Mailing address
134 Bob Hazelwood Rd
Humboldt, TN 38343-5835
Other providers in Humboldt, TN
- Archie Chiropractic LLC
- Jacob Alan Archie
- Festus N Arinze
- Zackary Austin
- Avondale Health and Rehabilitation Center LLC
- Bethany Mayo Bearden
- Behavioral Outreach Services, LLC
- Mariah Denise Blackwell
- Alexandria M Blakemore
- Michelle Duvall Blanton
All providers in Humboldt, TN · Physical Therapy Assistant in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.