BARRY DEE DAVIDSON

COOKEVILLE, TN
NPI1740550284
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224P00000X Prosthetist
(Licence: TN  07)
Additional Taxonomies222Z00000X Orthotist
(Licence: TN  06)
Enumeration Date2011-12-30
Last Update Date2011-12-30
Business Address
Mr. BARRY DEE DAVIDSON CP 3147,
735 W JACKSON ST
COOKEVILLE, TN 38501-3993
Phone number: 931-267-7703
Mailing Address
Mr. BARRY DEE DAVIDSON CP 3147,
735 W JACKSON ST
COOKEVILLE, TN 38501-3993
Phone number: 931-267-7703