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Organization
SOLED OUT PERFORMANCE & PHYSICAL THERAPY
Active
Organization
SOLED OUT PERFORMANCE & PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MACKENZIE JONES DPT (OWNER/PHYSICAL THERAPIST)
(919) 288-4386
Entity
Organization
Contact information
Practice address
2515 WILMA RUDOLPH BLVD STE 105, CLARKSVILLE, TN 37040-5824
(931) 436-9776
Mailing address
2515 WILMA RUDOLPH BLVD STE 105, CLARKSVILLE, TN 37040-5824
(931) 436-5776
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
02/16/2022
Last updated
03/29/2022
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