Provider Demographics
NPI:1720400377
Name:LITTLETON, TONIA DENISE (PT)
Entity Type:Individual
Prefix:
First Name:TONIA
Middle Name:DENISE
Last Name:LITTLETON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:TONIA
Other - Middle Name:DENISE
Other - Last Name:WOODWARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:1200 CORPORATE DR STE 400
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-5424
Mailing Address - Country:US
Mailing Address - Phone:423-238-7217
Mailing Address - Fax:423-238-3473
Practice Address - Street 1:699 PARKWAY STE 2
Practice Address - Street 2:
Practice Address - City:SEVIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:37862
Practice Address - Country:US
Practice Address - Phone:865-366-3693
Practice Address - Fax:865-366-3695
Is Sole Proprietor?:No
Enumeration Date:2014-01-16
Last Update Date:2018-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5996225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN5996OtherPHYSICAL THERAPIST