Individual
JASON ADAM HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
213 W MAIN ST, PARSONS, TN 38363-2018
(731) 847-8825
(731) 847-8828
Mailing address
2535 SMITHS CHAPEL RD, DECATURVILLE, TN 38329-4656
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3124
TN
Other
Enumeration date
10/01/2007
Last updated
10/01/2007
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