Individual
JONATHAN GRAY ULLRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1116 N MAIN ST, SHELBYVILLE, TN 37160-2310
(931) 398-8805
Mailing address
302 SHADOW DR, SHELBYVILLE, TN 37160-2514
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13664
TN
Other
Enumeration date
09/26/2021
Last updated
09/26/2021
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