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Individual

MICHAEL BLAINE POTTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2865 E MAIN ST, HUMBOLDT, TN 38343-3070
(731) 784-8405
Mailing address
5108 PLANER DR, MILAN, TN 38358-1526
(731) 487-4770

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15631
TN

Other

Enumeration date
06/04/2024
Last updated
06/04/2024
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