Individual
JEFFREY DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
8110 CAMP CREEK RD STE 106, OLIVE BRANCH, MS 38654-1622
(662) 893-1933
(662) 893-1934
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 777-6236
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11530
TN
225100000X
Physical Therapist
CP004290T
MS
225100000X
Physical Therapist
Primary
CP026181T
MS
Other
Enumeration date
06/09/2016
Last updated
11/29/2023
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