| Doctor Name: | TINA BRYANT |
| NPI Number: | 1073777256 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | 002042 |
| Business Practice Address: | 410 Falcon Crst Mount Washington, KY - 400477818 |
| Business Phone Number: | 5025517645 |
| Business Fax Number: | 5025389254 |
| Mailing Address: | 410 Falcon Crst, MT WASHINGTON |
| State: | KY |
| Postal Code: | 400477818 |
| Phone Number: | 5025517645 |
| Fax Number: | 5025389254 |
| NPI Enumeration Date: | 07/16/2008 |
| NPI Last Update Date: | 05/03/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251P0200X |
| License Number: | 002042 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |