# CUMBERLAND SPINE & JOINT REHABILITATION PLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417981408
- **Authorized official:** DR. RAFAEL L PRIETO M.D. (SOLE MEMBER)
- **Authorized official phone:** (931) 905-0991

## Contact information

- **Practice address:** 1750C MEMORIAL DR, CLARKSVILLE, TN 37043-4561
- **Practice address phone:** (931) 905-0991
- **Practice address fax:** (931) 905-0992
- **Mailing address:** 1750C MEMORIAL DR, CLARKSVILLE, TN 37043-4561
- **Mailing address phone:** (931) 905-0991
- **Mailing address fax:** (931) 905-0992

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 40917 | TN | Yes |

## Other

- **Enumeration date:** 07/10/2006
- **Last updated:** 11/28/2007