| NPI | 1548703283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN HENDERSON Physical Therapist 901-359-2569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 8816) |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2021-03-18 |