Individual
JEREMY RYAN POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1819 CLINCH AVE STE 106, KNOXVILLE, TN 37916-2435
(865) 690-4861
Mailing address
PO BOX 306556, NASHVILLE, TN 37230-6556
(865) 243-8153
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13409
TN
Other
Enumeration date
06/02/2021
Last updated
10/13/2023
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