Provider Demographics
NPI:1043342108
Name:BACHER, BRENT MATTHEW (PT)
Entity type:Individual
Prefix:MR
First Name:BRENT
Middle Name:MATTHEW
Last Name:BACHER
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 1:492 BROOK HAVEN DR
Mailing Address - Street 2:
Mailing Address - City:HIXSON
Mailing Address - State:TN
Mailing Address - Zip Code:37343-6219
Mailing Address - Country:US
Mailing Address - Phone:423-843-1044
Mailing Address - Fax:
Practice Address - Street 1:188 16TH AVE
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:TN
Practice Address - Zip Code:37321-1036
Practice Address - Country:US
Practice Address - Phone:423-570-0911
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist