Provider Demographics
NPI:1912009531
Name:HIGHTOWER, DAVID BENJAMIN (ATC)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:BENJAMIN
Last Name:HIGHTOWER
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:200 KEDRON PARKWAY
Mailing Address - Street 2:APARTMENT 125D
Mailing Address - City:SPRING HILL
Mailing Address - State:TN
Mailing Address - Zip Code:37174
Mailing Address - Country:US
Mailing Address - Phone:615-347-2668
Mailing Address - Fax:
Practice Address - Street 1:5228 MAIN ST
Practice Address - Street 2:SUITE A2
Practice Address - City:SPRING HILL
Practice Address - State:TN
Practice Address - Zip Code:37174-7402
Practice Address - Country:US
Practice Address - Phone:931-486-0599
Practice Address - Fax:931-486-3962
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAT00000009972255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer