| NPI | 1649218140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY EDWARD PRESLEY Owner 731-285-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN PT0000005425) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN PT0000006115) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2011-01-20 |