Individual
JAYLON THARPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 CUMBERLAND SQ, LEBANON, TN 37087-3408
(615) 547-1246
Mailing address
838 WOODSTOCK CT, CLARKSVILLE, TN 37040-2515
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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