Provider Demographics
NPI:1215056825
Name:HIGHTOWER, PAMELA LEIGH (PTA)
Entity type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:LEIGH
Last Name:HIGHTOWER
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:1011 COUNTY ROAD 11
Mailing Address - Street 2:
Mailing Address - City:LINEVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36266-9211
Mailing Address - Country:US
Mailing Address - Phone:256-488-0066
Mailing Address - Fax:256-354-1294
Practice Address - Street 1:83825 HIGHWAY 9
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:AL
Practice Address - Zip Code:36251-1270
Practice Address - Country:US
Practice Address - Phone:256-354-1118
Practice Address - Fax:256-354-1294
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTA269225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant