PHILLIP RANDAL CANNON

FORT CAMPBELL, KY
NPI1265088439
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: HI  PT-4948)
Enumeration Date2019-08-14
Last Update Date2025-04-30
Business Address
Dr. PHILLIP RANDAL CANNON DPT
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 270-461-5257
Mailing Address
Dr. PHILLIP RANDAL CANNON DPT
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 270-461-5257
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