IndividualActive
Brenda Davis, LPTA
NPI 1356113286 · Physical Therapy Assistant · Fayetteville, TN
Provider details
- NPI number
- 1356113286
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LPTA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 8354 (TN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
4081 Thornton Taylor Pkwy
Fayetteville, TN 37334-2674
Phone: (931) 433-9973
Approximate (ZIP-level) locationGet directions
Mailing address
143 Molino Rd
Fayetteville, TN 37334-6246
Registry dates
- Enumerated
- 2023-10-24
- Last updated
- 2023-10-24
- Certified
- 2023-10-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.