Provider Demographics
NPI:1245759471
Name:WITTEN, BRITTANY A (DPT)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:A
Last Name:WITTEN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2310 ELLIOTT AVE APT 138
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37204-2125
Mailing Address - Country:US
Mailing Address - Phone:586-552-6565
Mailing Address - Fax:
Practice Address - Street 1:140 THORNE BLVD
Practice Address - Street 2:
Practice Address - City:GALLATIN
Practice Address - State:TN
Practice Address - Zip Code:37066-1509
Practice Address - Country:US
Practice Address - Phone:615-451-0788
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-19
Last Update Date:2022-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN11384225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist