Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Full Spectrum Pediatric Therapy, Inc

Organization Physical Therapist · NPI 1255472403

Full Spectrum Pediatric Therapy, Inc is a Physical Therapist in Clarksville, Tennessee. Licensed in Tennessee. Registered with an NPI since 2007.

Licensed in
TN
In the registry since
2007
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

298 Warfield Blvd Ste C
Clarksville, TN 37043-1896
Phone: (931) 906-0440
Fax: (931) 920-5070
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT 6520 (TN)
Occupational Therapist Taxonomy 225X00000X · Licence OT 2156 (TN)

Record details

NPI number1255472403
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lana Broome — Owner/President · (931) 906-0440
Other names Full Spectrum Rehab Center
NPI enumeratedFebruary 9, 2007
Last updated in NPPESApril 20, 2022
Certification dateApril 20, 2022
Mailing address298 Warfield Blvd, Suite C, Clarksville, TN 37043-1896

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