Individual
JEREMY RISNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1015 ROLLING FIELDS CIRCLE, COLUMBIA, TN 38401
(931) 797-4416
Mailing address
1015 ROLLING FIELDS CIR, COLUMBIA, TN 38401-3559
(931) 797-4416
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6251
TN
Other
Enumeration date
06/14/2016
Last updated
06/14/2016
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