Provider Demographics
NPI:1437547874
Name:BROWN, MICHAEL R (DPT)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:R
Last Name:BROWN
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:381 RIVERSIDE DR STE 440
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-8934
Mailing Address - Country:US
Mailing Address - Phone:615-861-8751
Mailing Address - Fax:615-807-2295
Practice Address - Street 1:1 WOODGREEN PL STE 101
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:MS
Practice Address - Zip Code:39110
Practice Address - Country:US
Practice Address - Phone:601-605-1126
Practice Address - Fax:601-605-1891
Is Sole Proprietor?:No
Enumeration Date:2015-01-08
Last Update Date:2019-09-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MSPT-5306225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist