Doctor Name: | CASEY E CANNON |
NPI Number: | 1790092658 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 8743 |
Business Practice Address: | 8059 Stage Hills Blvd Suite 104 Bartlett, TN - 381334047 |
Business Phone Number: | 9013834515 |
Business Fax Number: | 9013834505 |
Mailing Address: | 10104 Woodland Birch Cv, LAKELAND |
State: | TN |
Postal Code: | 380023950 |
Phone Number: | 9013556406 |
Fax Number: | |
NPI Enumeration Date: | 09/13/2010 |
NPI Last Update Date: | 08/05/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 8743 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
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 |