Individual provider · Type 1 NPI

Charles Jackson Breedlove, PTA

Physical Therapy Assistant · Knoxville, TN

NPI number 1427620814 Active

Practice location

10133 Sherrill Blvd Ste 200
Knoxville, TN 37932-3347

Call (888) 531-2204 Map

Fax (855) 232-8604

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA004344 (GA)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1427620814

Charles Jackson Breedlove, PTA's National Provider Identifier is 1427620814, issued on Jul 14, 2021. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Knoxville, TN. The record was last updated on Jul 14, 2021.