Healthcare Provider Details

I. General information

NPI: 1093645889
Provider Name (Legal Business Name): BIG STEP THERAPY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

636 RICHARDSON CEMETERY RD
WHITE BLUFF TN
37187-4204
US

IV. Provider business mailing address

636 RICHARDSON CEMETERY RD
WHITE BLUFF TN
37187-4204
US

V. Phone/Fax

Practice location:
  • Phone: 615-483-4707
  • Fax:
Mailing address:
  • Phone: 615-483-4707
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: TAYLOR GRIFFIN
Title or Position: MEMBER/OWNER
Credential: PT, DPT
Phone: 615-483-4707