Provider Demographics
NPI:1902518178
Name:LITTLEJOHN, ALDEN (PT)
Entity Type:Individual
Prefix:
First Name:ALDEN
Middle Name:
Last Name:LITTLEJOHN
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:514 S HIGH ST
Mailing Address - Street 2:
Mailing Address - City:WAYNESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:38485-2615
Mailing Address - Country:US
Mailing Address - Phone:931-722-2778
Mailing Address - Fax:
Practice Address - Street 1:321 DEXTER L WOODS MEMORIAL BLVD STE C
Practice Address - Street 2:
Practice Address - City:WAYNESBORO
Practice Address - State:TN
Practice Address - Zip Code:38485-2418
Practice Address - Country:US
Practice Address - Phone:931-722-2464
Practice Address - Fax:931-722-2478
Is Sole Proprietor?:No
Enumeration Date:2022-12-20
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN13817225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist