Healthcare Provider Details

I. General information

NPI: 1427786441
Provider Name (Legal Business Name): PAIGE SEXTON DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2022
Last Update Date: 12/22/2022
Certification Date: 12/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

934 S BROADWAY ST STE 4
PORTLAND TN
37148-1700
US

IV. Provider business mailing address

PO BOX 681478
FRANKLIN TN
37068-1478
US

V. Phone/Fax

Practice location:
  • Phone: 615-323-7575
  • Fax: 615-323-0677
Mailing address:
  • Phone: 615-591-6590
  • Fax: 615-591-6601

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number14321
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: