Individual
JON WINBORN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
5000 CROSSINGS CIR, MT JULIET, TN 37122-8592
(615) 329-6600
(615) 321-6226
Mailing address
805 CRYSTAL CT, MT JULIET, TN 37122-8212
(256) 200-4701
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11272
TN
225100000X
Physical Therapist
PTH4747
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00731753
RAILROAD MEDICARE
AL
Enumeration date
10/10/2006
Last updated
06/05/2024
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