Individual
CAMERON MICHAEL MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, CSCS
Contact information
Practice address
2197 MADISON ST STE 106, CLARKSVILLE, TN 37043-5253
(931) 503-1700
(931) 503-1798
Mailing address
PO BOX 306393, NASHVILLE, TN 37230-6393
(615) 373-1350
(615) 373-7116
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2019003990
MO
225100000X
Physical Therapist
Primary
CP008397T
TN
Other
Enumeration date
02/08/2019
Last updated
10/15/2021
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