Individual
GRANT BESHIRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 JACKSON WALK PLZ, JACKSON, TN 38301-3008
(731) 421-6950
(731) 660-8739
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
5278
TN
Other
Enumeration date
02/07/2024
Last updated
02/07/2024
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