Individual
MICHAEL PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
7640 HWY 70 S STE 210, NASHVILLE, TN 37221-1758
(615) 673-1420
(615) 673-1421
Mailing address
PO BOX 681478, FRANKLIN, TN 37068-1478
(615) 673-1420
(615) 673-1421
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13989
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0446631
—
TN
Enumeration date
02/07/2022
Last updated
09/12/2022
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