Tony Channell Valid NPI
Individual provider · Physical Therapy Assistant · Summit, MS
- NPI
- 1902114309
- Type
- Individual (Type 1)
- Primary specialty
- Physical Therapy Assistant
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 225200000X
- License number
- PTA1200 (AL)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2010-09-20
- Last updated
- 2010-09-20
Practice location
4109 Highway 98 W
Summit, MS 39666-9132
(205) 375-2465