MEDICARE: DR. BRITTANY LEIGH GRIFFIN PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	P14417	NC

General Provider Information

NPI Number	:	1194157875
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRITTANY LEIGH GRIFFIN PT

Provider Business Mailing Address
First Line	:	9615 KINCEY AVE STE 200
Second Line	:
City	:	HUNTERSVILLE
State	:	NC
Zip	:	28078-9140
Country	:	US
Telephone Number	:	704-659-6550
Fax Number	:	704-464-1066

Provider Business Practice Location Address
First Line	:	9615 KINCEY AVE STE 200
Second Line	:
City	:	HUNTERSVILLE
State	:	NC
Zip	:	28078-9140
Country	:	US
Telephone Number	:	704-659-6550
Fax Number	:	704-464-1066

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/05/2013
Last Update Date	:	07/30/2021

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