| Doctor Name: | MR. TIMOTHY MCCULLOUGH |
| NPI Number: | 1275548927 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT,ATC |
| License Number: | |
| Business Practice Address: | 11 Pleasant St. Smart Physical Therapy Llc New London, NH - 032575834 |
| Business Phone Number: | 6035267627 |
| Business Fax Number: | 6036767967 |
| Mailing Address: | Po Box 1557, Smart Physical Therapy, Llc NEW LONDON |
| State: | NH |
| Postal Code: | 032575834 |
| Phone Number: | 6035267627 |
| Fax Number: | 6036767967 |
| NPI Enumeration Date: | 07/30/2006 |
| NPI Last Update Date: | 07/19/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |