Provider Demographics
NPI:1962195628
Name:ARNOLD, ALEXANDER ROUGELOT (PT,DPT)
Entity type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:ROUGELOT
Last Name:ARNOLD
Suffix:
Gender:M
Credentials:PT,DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5656 BLACKWELL RD
Mailing Address - Street 2:
Mailing Address - City:BARTLETT
Mailing Address - State:TN
Mailing Address - Zip Code:38134-3414
Mailing Address - Country:US
Mailing Address - Phone:901-270-0538
Mailing Address - Fax:
Practice Address - Street 1:973 HIGHWAY 51 N
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:TN
Practice Address - Zip Code:38019-1594
Practice Address - Country:US
Practice Address - Phone:901-617-0100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-30
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN14973225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist