Timothy Alan Wixson
Physical Therapist - Sports Physical Therapist - Orthopedic
1120 15th St
Augusta
, Georgia 30912-0004
Timothy Alan Wixson
Physical Therapist - Sports Physical Therapist - Orthopedic
1120 15th St
Augusta
, Georgia 30912-0004
(706) 364-1206
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About
Features
Specialties
- Physical Therapist - Sports
- Physical Therapist - Orthopedic
Languages spoken
- English
Location
First Address
- Timothy Alan Wixson
- 1206 Glenwood Dr
- Augusta, GA
- Zip : 30904-3341
- Phone : (706) 364-1206
Second Address
- Timothy Alan Wixson
- 1120 15th St
- Augusta, GA
- Zip : 30912-0004
- Fax : (706) 721-3503
- Phone : (706) 721-3494
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2251S0007X | Physical Therapist - Sports | 008955 | GA |
| Y | 2251X0800X | Physical Therapist - Orthopedic | 008955 | GA |
National Provider Identifier
| NPI | 1124277553 |
|---|---|
| Provider Name | Timothy Alan Wixson |
| First Address | Augusta, GA 30904-3341 |
| Second Address | Augusta, GA 30912-0004 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/09/2008 |
| Last Update Date | 19/05/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.