NPI 1639326903

John Chad Harless

Practitioner Physical Therapy Assistant Reform, AL

Practice location

Address: 515 2nd Ave NW, Reform, AL 35481-2331
Phone: (205) 375-6379
Mailing address: 4109 Highway 98 W, Summit, MS 39666-9132

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 834 (AL)

Other Physical Therapy Assistant providers in Alabama →

Registry record

NPI: 1639326903
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Aug 2008
Record last updated: 1 Feb 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.