TANNER BRYCE WILSON

LEBANON, KY
NPI1821872987
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261QP2000X Clinic/Center, Physical Therapy
(Licence: KY  008824)
Enumeration Date2023-08-21
Last Update Date2023-08-21
Business Address
Dr. TANNER BRYCE WILSON PT, DPT
703 E MAIN ST UNIT 1
LEBANON, KY 40033-8696
Phone number: 270-699-9503
Mailing Address
Dr. TANNER BRYCE WILSON PT, DPT
145 HEART LN
CAMPBELLSVILLE, KY 42718-7376
Phone number: 270-670-2823
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