Provider Demographics
NPI:1457489585
Name:BLOODWORTH, LINDA CAPPS (PT)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:CAPPS
Last Name:BLOODWORTH
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MISS
Other - First Name:LINDA
Other - Middle Name:CAROL
Other - Last Name:CAPPS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:220 COMER CR
Mailing Address - Street 2:
Mailing Address - City:MURFREESBOROR
Mailing Address - State:TN
Mailing Address - Zip Code:37128
Mailing Address - Country:US
Mailing Address - Phone:615-890-9285
Mailing Address - Fax:
Practice Address - Street 1:420 NORTH UNIVERSITY
Practice Address - Street 2:NHC
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37130
Practice Address - Country:US
Practice Address - Phone:615-893-2602
Practice Address - Fax:615-890-1224
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000001450225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist