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1184268757
MICHAEL SMITH
JACKSON, TN
NPI
1184268757
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN 7189)
Enumeration Date
2019-11-06
Last Update Date
2019-11-06
Business Address
MICHAEL SMITH
614 CARRIAGE HOUSE DR STE E
JACKSON, TN 38305-4238
Phone number: 731-668-4449
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Mailing Address
MICHAEL SMITH
1804 HIGHWAY 45 BYP STE 604
JACKSON, TN 38305-4403
Phone number: 731-512-1264
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