Provider Demographics
NPI:1811441421
Name:ROCK, BRITTANY (PT)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:ROCK
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1090 N ELLINGTON PKWY
Mailing Address - Street 2:SUITE 205
Mailing Address - City:LEWISBURG
Mailing Address - State:TN
Mailing Address - Zip Code:37091-2227
Mailing Address - Country:US
Mailing Address - Phone:931-270-3676
Mailing Address - Fax:931-270-3628
Practice Address - Street 1:1090 N ELLINGTON PKWY
Practice Address - Street 2:SUITE 205
Practice Address - City:LEWISBURG
Practice Address - State:TN
Practice Address - Zip Code:37091-2227
Practice Address - Country:US
Practice Address - Phone:931-270-3676
Practice Address - Fax:931-270-3628
Is Sole Proprietor?:No
Enumeration Date:2016-08-11
Last Update Date:2016-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN10366225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist