Alan D Carr

Individual provider Active NPI Physical Therapy Assistant · Martin, TN

NPI 1285301895 · NPPES record last updated Aug 23, 2021

Key facts

NPI
1285301895
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
5279 (TN)
Practice address
158 Mount Pelia Rd
Martin, TN 38237-3812
Phone
(731) 588-0503
NPI assigned
Aug 23, 2021
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 5279 TN Yes

Addresses

Primary practice location

158 Mount Pelia Rd
Martin, TN 38237-3812

Mailing address

211 University St
Martin, TN 38237-2434
Phone (731) 819-0397

Other providers in Martin, TN

All providers in Martin, TN · Physical Therapy Assistant in Tennessee

Sources for this page

Verify at the official NPI Registry.