Individual
JEREMY GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
845 UNION ST, SHELBYVILLE, TN 37160-2607
(931) 685-5575
(931) 685-5578
Mailing address
1515 DEWSBURY DR, MURFREESBORO, TN 37128-2744
(615) 225-8385
(931) 685-5578
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5337558
LICENSURE
TN
01
—
PTH2797
LICENSE #
AL
Enumeration date
08/30/2006
Last updated
04/09/2008
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