JACK NICKLAUS MARTIN

GERMANTOWN, TN
NPI1942030002
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: TN  15748)
Enumeration Date2024-08-05
Last Update Date2024-08-12
Business Address
JACK NICKLAUS MARTIN DPT
2100 EXETER RD STE 200
GERMANTOWN, TN 38138-3966
Phone number: 901-522-6440
Mailing Address
JACK NICKLAUS MARTIN DPT
2100 EXETER RD STE 200
GERMANTOWN, TN 38138-3966
Phone number: 901-522-6440
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