Individual
ANTONIO GUISADIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1123 N CHUCKY PIKE, JEFFERSON CTY, TN 37760-4851
(865) 475-6930
Mailing address
2021 N SIZER AVE APT 255, JEFFERSON CTY, TN 37760-5142
(865) 454-5440
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3127
TN
225100000X
Physical Therapist
—
—
Other
Enumeration date
07/13/2020
Last updated
07/13/2020
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