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

MS. Phyllis A Wardlow, PTA

Individual provider Physical Therapy Assistant · NPI 1962587162

MS. Phyllis A Wardlow, PTA is a Physical Therapy Assistant in Jackson, Tennessee. Licensed in Tennessee. Registered with an NPI since 2006.

Licensed in
TN
In the registry since
2006
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 0849 (TN)

Record details

NPI number1962587162
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedOctober 26, 2006
Last updated in NPPESJuly 8, 2007
Mailing address148 Henderson Rd, Jackson, TN 38305-5913

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