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Individual

JOSEPH MATTHEW GAGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
217 WARD ST, BENTON, TN 37307-3054
(423) 338-8088
(423) 338-8188
Mailing address
PO BOX 767, BENTON, TN 37307-0767
(423) 338-8088
(423) 338-8188

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0000005914
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
105258400
DEPT OF LABOR
TN
05
3652560
TN
01
4030037
BCBS
TN
Enumeration date
05/10/2006
Last updated
01/18/2024
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