Individual
AUSTIN TYLER JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
9430 PARK WEST BLVD STE 230, KNOXVILLE, TN 37923-4204
(865) 560-8550
(865) 560-8551
Mailing address
PO BOX 9118, MINNEAPOLIS, MN 55480-9118
(865) 694-0062
(865) 694-7907
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14040
TN
225100000X
Physical Therapist
—
—
Other
Enumeration date
08/04/2022
Last updated
10/07/2022
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