Individual
MICHAEL SHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1704 E STONE DR STE 120, KINGSPORT, TN 37660-4679
(423) 765-0985
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
9916
TN
Other
Enumeration date
02/13/2014
Last updated
09/21/2022
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