Individual
DYLAN HOUSEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9550 HIGHWAY 412 W STE A, LEXINGTON, TN 38351-5850
(731) 967-3224
(731) 967-3305
Mailing address
257 BANCORP SOUTH PKWY, JACKSON, TN 38305-7582
(731) 660-8781
(731) 660-8739
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8664
TN
Other
Enumeration date
12/05/2024
Last updated
12/17/2024
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