Individual
DRAKE PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
470 MALL BLVD, DYERSBURG, TN 38024-1648
(731) 259-9995
Mailing address
195 BAKER RD, NEWBERN, TN 38059-5403
(731) 676-3969
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14454
TN
Other
Enumeration date
05/16/2023
Last updated
05/16/2023
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