Provider Demographics
NPI:1811294846
Name:ATCHISON, ANNA K (DPT)
Entity type:Individual
Prefix:MISS
First Name:ANNA
Middle Name:K
Last Name:ATCHISON
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:
Other - Last Name:CORUM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:251 JOHNSTON ST SE STE 200
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35601-2515
Mailing Address - Country:US
Mailing Address - Phone:256-350-1764
Mailing Address - Fax:334-396-4905
Practice Address - Street 1:615 MYNATT ST SW STE A
Practice Address - Street 2:
Practice Address - City:HARTSELLE
Practice Address - State:AL
Practice Address - Zip Code:35640-2878
Practice Address - Country:US
Practice Address - Phone:256-773-0138
Practice Address - Fax:256-773-0140
Is Sole Proprietor?:No
Enumeration Date:2011-02-28
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT010202225100000X
ALPTH7031225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist