Provider Demographics
NPI:1306376181
Name:HARBIT, BRITTANY SUE (PTA)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:SUE
Last Name:HARBIT
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:SUE
Other - Last Name:PRITCHARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:466 MOCKINGBIRD PL
Mailing Address - Street 2:
Mailing Address - City:JONESBOROUGH
Mailing Address - State:TN
Mailing Address - Zip Code:37659-6467
Mailing Address - Country:US
Mailing Address - Phone:219-508-5360
Mailing Address - Fax:
Practice Address - Street 1:466 MOCKINGBIRD PL
Practice Address - Street 2:
Practice Address - City:JONESBOROUGH
Practice Address - State:TN
Practice Address - Zip Code:37659-6467
Practice Address - Country:US
Practice Address - Phone:219-508-5360
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-14
Last Update Date:2017-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN6476225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant