Provider Demographics
NPI:1861417149
Name:WRIGHT, HANK W (PT)
Entity type:Individual
Prefix:
First Name:HANK
Middle Name:W
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:788 PRINCE AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30606-5912
Mailing Address - Country:US
Mailing Address - Phone:706-543-2111
Mailing Address - Fax:706-543-2190
Practice Address - Street 1:788 PRINCE AVE
Practice Address - Street 2:SUITE C
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30606-5912
Practice Address - Country:US
Practice Address - Phone:706-543-2111
Practice Address - Fax:706-543-2190
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2014-10-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GAPT0030042251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic