Individual
DERRICK VARNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
107 ALLISON ANN PASS, MADISON, TN 37115-6552
(931) 626-2541
Mailing address
107 ALLISON ANN PASS, MADISON, TN 37115-6552
(931) 626-2541
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7116
TN
Other
Enumeration date
07/15/2020
Last updated
07/15/2020
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