Individual
ALAN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
5431 EDMONDSON PIKE STE 20, NASHVILLE, TN 37211-5806
(615) 831-1710
(615) 831-1968
Mailing address
PO BOX 681478, FRANKLIN, TN 37068-1478
(615) 591-6590
(615) 591-6601
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0446631
—
TN
Enumeration date
11/08/2024
Last updated
11/08/2024
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