Most Relevant Information
Provider Data
| NPI Number: | 1003354036 |
| Provider Name: | BRIAN MEADOW PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 0000006194 |
Most Important Dates
| Enumeration Date: | 02/09/2017 |
| Last Updated: | 02/10/2017 |
Provider Practice Location
812 N CHARLOTTE ST
DICKSON
TN
370551009
Practice Location Phone/Fax
| Phone: | 6154468046 |
| Fax: |
Provider Mailing Location
105 JONES CREEK RD
H4
DICKSON
TN
370551478
Provider Mailing Phone/Fax
| Phone: | 9312371165 |
| Fax: |