Provider Demographics
NPI:1598089393
Name:PERRY, PAMELA KATHLEEN (RPT)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:KATHLEEN
Last Name:PERRY
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:PAMELA
Other - Middle Name:WILSON
Other - Last Name:PERRY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPT
Mailing Address - Street 1:800 CRESCENT CENTRE DR STE 600
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-7286
Mailing Address - Country:US
Mailing Address - Phone:615-373-1350
Mailing Address - Fax:615-221-9054
Practice Address - Street 1:4601 WHITESBURG DR SE
Practice Address - Street 2:SUITE 102
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35802-1676
Practice Address - Country:US
Practice Address - Phone:256-883-1734
Practice Address - Fax:256-883-1735
Is Sole Proprietor?:No
Enumeration Date:2010-03-23
Last Update Date:2018-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH883225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist