Individual
AMBER BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
109 MORGAN TRACE CT, WHITE HOUSE, TN 37188-1266
(615) 887-0159
Mailing address
109 MORGAN TRACE CT, WHITE HOUSE, TN 37188-1266
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4979
TN
Other
Enumeration date
08/05/2021
Last updated
08/05/2021
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