Individual
CHAD JEFFREY TENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
4088
OR
225100000X
Physical Therapist
Primary
6109493-2401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D6626
—
UT
Enumeration date
11/23/2005
Last updated
04/02/2018
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