Provider Demographics
NPI:1336599620
Name:HIGHTOWER, BRANDI RENEE' (LAT, ATC)
Entity type:Individual
Prefix:
First Name:BRANDI
Middle Name:RENEE'
Last Name:HIGHTOWER
Suffix:
Gender:F
Credentials:LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1013 TIMBERVALLEY WAY
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:TN
Mailing Address - Zip Code:37174-0015
Mailing Address - Country:US
Mailing Address - Phone:931-505-8820
Mailing Address - Fax:
Practice Address - Street 1:1013 TIMBERVALLEY WAY
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:TN
Practice Address - Zip Code:37174-0015
Practice Address - Country:US
Practice Address - Phone:931-505-8820
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-16
Last Update Date:2016-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN00000014172255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer