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Individual

ANDREW FULTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
102 E COMMERCE CT, JEFFERSON CITY, TN 37760-3200
(865) 475-3101
(865) 475-9213
Mailing address
102 E COMMERCE CT, JEFFERSON CITY, TN 37760-3200
(865) 475-3101
(865) 475-9213

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15862
TN

Other

Enumeration date
08/13/2024
Last updated
08/16/2024
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