Individual
MR. SHAY MICHAEL FONTENOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1035 FULTON GREER RD, FRANKLIN, TN 37064-2080
(615) 592-0510
Mailing address
412 BRITISH WOODS DR, NASHVILLE, TN 37217-3356
(337) 329-0657
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A8881
LA
Other
Enumeration date
09/27/2014
Last updated
09/27/2014
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