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

Michael Brandon Church, LPTA

Individual provider Physical Therapy Assistant · NPI 1073056206

Michael Brandon Church, LPTA is a Physical Therapy Assistant in Bristol, Tennessee. Licensed in Tennessee. Registered with an NPI since 2016.

Licensed in
TN
In the registry since
2016

Practice location Address checks out

1996 W State St
Bristol, TN 37620-1940
Phone: (423) 844-6111
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 6152 (TN)

Record details

NPI number1073056206
Entity typeIndividual (Type 1)
GenderMale
Credentials LPTA
Sole proprietorNo
NPI enumeratedNovember 20, 2016
Last updated in NPPESNovember 20, 2016

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