Individual
PHILLIP BRADLEY BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8727
(423) 665-4381
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8727
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9613
TN
Other
Enumeration date
06/21/2013
Last updated
09/30/2024
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