Individual
CALEB PEARSON
Active
Individual
CALEB PEARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10746
TN
225100000X
Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
10746
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10746
TN BOARD OF PT
TN
01
—
6066842
BLUE CROSS BLUE SHIELD TN
TN
05
—
Q022042
—
TN
Enumeration date
02/11/2016
Last updated
01/16/2020
Update your record
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