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

Mr. Bradley Keith Cantrell, PTA

Individual provider Physical Therapy Assistant · NPI 1801239264

Mr. Bradley Keith Cantrell, PTA is a Physical Therapy Assistant in Jackson, Tennessee. Licensed in Tennessee. Registered with an NPI since 2013.

Licensed in
TN
In the registry since
2013
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

121 Physicians Dr
Jackson, TN 38305-6011
Phone: (731) 664-5050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 0000004604 (TN)

Record details

NPI number1801239264
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedApril 16, 2013
Last updated in NPPESApril 16, 2013
Mailing address124 Bird House Ln, Selmer, TN 38375-4108

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