Healthcare Provider Details

I. General information

NPI: 1851343388
Provider Name (Legal Business Name): KATHLEEN C. WESTBROOK PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATHLEEN COMPTON PT

II. Dates (important events)

Enumeration Date: 05/16/2006
Last Update Date: 10/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8904 CROSS PARK DR
KNOXVILLE TN
37923-4703
US

IV. Provider business mailing address

1200 CORPORATE DR STE 400
BIRMINGHAM AL
35242-5424
US

V. Phone/Fax

Practice location:
  • Phone: 865-690-2671
  • Fax: 865-690-6445
Mailing address:
  • Phone: 423-238-8930
  • Fax: 423-285-6647

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1133
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: