Individual
JACOB BRACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
500 WILSON PIKE CIR STE 200, BRENTWOOD, TN 37027-3225
(629) 888-4981
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7568
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14300
TN
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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