Organization
REHABDYNAMIX SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE JONES (EXECUTIVE OFFICER)
(901) 465-7850
Entity
Organization
Contact information
Practice address
6685 HIGHWAY 64 STE 2, OAKLAND, TN 38060-3402
(901) 465-7850
Mailing address
6685 HIGHWAY 64 STE 2, OAKLAND, TN 38060-3402
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3725434
—
TN
Enumeration date
01/27/2007
Last updated
08/22/2020
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