Provider Demographics
NPI:1851632178
Name:ALTIZER, JEFFREY BROOKS (DPT)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:BROOKS
Last Name:ALTIZER
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2021 CHURCH ST STE 102
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-2040
Mailing Address - Country:US
Mailing Address - Phone:615-284-7555
Mailing Address - Fax:615-284-7075
Practice Address - Street 1:2021 CHURCH ST STE 102
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2040
Practice Address - Country:US
Practice Address - Phone:615-284-7555
Practice Address - Fax:615-284-7075
Is Sole Proprietor?:No
Enumeration Date:2013-03-12
Last Update Date:2013-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNPT00000088112251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic