Individual
MICHAEL MCCLOUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1420 TUSCULUM BLVD, GREENEVILLE, TN 37745-4279
(423) 787-5063
Mailing address
1399 W MARKET ST, JOHNSON CITY, TN 37604-6014
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9909
TN
Other
Enumeration date
05/19/2015
Last updated
05/19/2015
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