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1104548668
JACOB BRACKETT
BRENTWOOD, TN
NPI
1104548668
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TN 14300)
Enumeration Date
2022-09-13
Last Update Date
2022-09-13
Business Address
JACOB BRACKETT PT, DPT
500 WILSON PIKE CIR STE 200
BRENTWOOD, TN 37027-3225
Phone number: 629-888-4981
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Mailing Address
JACOB BRACKETT PT, DPT
1200 CORPORATE DR STE 400
HOOVER, AL 35242-5424
Phone number: 423-238-7568
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