Clifton Lee Hackett, A.A.S.
Individual provider Active NPI Physical Therapy Assistant · Red Boiling Springs, TN
NPI 1427428101 · NPPES record last updated Oct 6, 2015
Key facts
- NPI
- 1427428101
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 6143 (TN)
- Practice address
- 309 Main St
Red Boiling Springs, TN 37150-2149 - Phone
- (615) 699-2304
- NPI assigned
- Oct 6, 2015
- 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
- Credentials
- Associate of Applied Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 6143 | TN | Yes |
Addresses
Primary practice location
309 Main St
Red Boiling Springs, TN 37150-2149
Mailing address
309 Main St
Red Boiling Springs, TN 37150-2149
Other providers in Red Boiling Springs, TN
- Olivia Clements
- Glenis O Dodds-Mills
- Brittany Dozier
- Frank T Rutherford Memorial Hospital, Inc
- Jennifer Renae Guffey
- Jessica Faylene McGee Hagan
- Benita Gail Hudson
- Lanny R Hudson
- Longevity Clinical LTC Associates of Tennessee, PLLC
- Macon Care Center LLC
All providers in Red Boiling Springs, 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 Oct 6, 2015. 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.