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Organization
VITALITY SPORT AND REHAB LLC
Active
Organization
VITALITY SPORT AND REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAMEKA DUNCAN DPT (OWNER/PHYSICAL THERAPIST)
(931) 444-3677
Entity
Organization
Contact information
Practice address
1477 TINY TOWN RD # 323, CLARKSVILLE, TN 37042-7202
(931) 444-3677
(931) 444-5581
Mailing address
1477 TINY TOWN RD # 323, CLARKSVILLE, TN 37042-7202
(931) 444-3677
(931) 444-5581
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
10/08/2018
Last updated
10/27/2018
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