Individual
BRANDT MADDOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3980 NEW COVINGTON PIKE, SUITE 108, MEMPHIS, TN 38128-2500
(901) 937-3200
(901) 383-1738
Mailing address
3980 NEW COVINGTON PIKE, SUITE 108, MEMPHIS, TN 38128-2500
(901) 937-3200
(901) 383-1738
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 4368
TN
Other
Enumeration date
06/19/2009
Last updated
06/19/2009
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