Individual
PHILLIP D HEADRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
889B BELL RD, STE A-7A, ANTIOCH, TN 37013-3101
(615) 717-6262
(615) 717-6890
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5498
TN
225100000X
Physical Therapist
PTH7016
AL
Other
Enumeration date
04/17/2006
Last updated
04/07/2016
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