Individual
BRAD LITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2009 MEMORIAL BLVD, SPRINGFIELD, TN 37172-3913
(615) 384-3836
Mailing address
2009 SAINT MICHAELS LN, CEDAR HILL, TN 37032-4971
(615) 696-0012
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3540
LICENSE #
TN
Enumeration date
08/30/2006
Last updated
07/08/2007
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