| Doctor Name: | BRYAN HACK |
| NPI Number: | 1871992974 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT |
| License Number: | 10200 |
| Business Practice Address: | 5651 Frist Blvd Suite 200 Hermitage, TN - 370762054 |
| Business Phone Number: | 6158850200 |
| Business Fax Number: | 6158850267 |
| Mailing Address: | 3024 Business Park Cir, GOODLETTSVILLE |
| State: | TN |
| Postal Code: | 370723132 |
| Phone Number: | 6158516033 |
| Fax Number: | 6152969939 |
| NPI Enumeration Date: | 08/14/2014 |
| NPI Last Update Date: | 08/14/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 10200 |
| 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 |