Individual
WYATT WORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1458 WEST POPLAR AVENUE #100, COLLIERVILLE, TN 38138
(901) 759-5491
(901) 759-5493
Mailing address
1458 WEST POPLAR AVENUE #100, COLLIERVILLE, TN 38138
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
8117
TN
Other
Enumeration date
07/14/2014
Last updated
07/14/2014
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