Organization
REDDEN TOTAL THERAPY-SOUTH, LLC
Active
Organization
REDDEN TOTAL THERAPY-SOUTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAYTON MICHAEL REDDEN PT (PRESIDENT)
(731) 512-0302
Entity
Organization
Contact information
Practice address
51 S CREEK DR, JACKSON, TN 38301-7593
(731) 423-8700
(731) 423-8888
Mailing address
1000 GREYSTONE SQ, JACKSON, TN 38305-3580
(731) 512-0302
(731) 512-0319
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6671
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1514178
—
TN
Enumeration date
04/21/2009
Last updated
06/07/2016
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