Healthcare Provider Details

I. General information

NPI: 1114535390
Provider Name (Legal Business Name): ELLEN GARNER BRINT PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2020
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1119 E COLLEGE ST STE 3
PULASKI TN
38478-4564
US

IV. Provider business mailing address

203 NARROWS PKWY STE D
BIRMINGHAM AL
35242-8649
US

V. Phone/Fax

Practice location:
  • Phone: 931-330-0850
  • Fax: 931-330-0855
Mailing address:
  • Phone: 931-330-0850
  • Fax: 931-330-0855

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberCP048673T
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number12846
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: