Individual
JONATHAN K BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1050 N JAMES CAMPBELL BLVD, SUITE 110, COLUMBIA, TN 38401-2754
(931) 560-1400
(931) 490-1369
Mailing address
1050 N JAMES CAMPBELL BLVD, SUITE 200, COLUMBIA, TN 38401-2754
(931) 381-2663
(931) 490-1369
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11513
TN
Other
Enumeration date
10/17/2017
Last updated
10/17/2017
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