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

Dr. Phillip Randal Cannon Jr., DPT

Individual provider Physical Therapist · NPI 1265088439

Dr. Phillip Randal Cannon Jr., DPT is a Physical Therapist in Fort Campbell, Kentucky. Licensed in Hawaii. Registered with an NPI since 2019.

Licensed in
HI
In the registry since
2019
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

650 Joel Dr
Fort Campbell, KY 42223-5318
Phone: (270) 461-5257
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT-4948 (HI)

Record details

NPI number1265088439
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 14, 2019
Last updated in NPPESApril 30, 2025
Certification dateApril 30, 2025

Other providers in Fort Campbell