Organization
VOLUNTEER PHYSICAL THERAPY AND PERFORMANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL BLAKE HUDDLESTON PT, DPT (OWNER/PHYSICAL THERAPIST)
(615) 805-4949
Entity
Organization
Contact information
Practice address
1932 ALMAVILLE RD STE 115, SMYRNA, TN 37167-7600
(615) 805-4949
Mailing address
5810 SHELBY OAKS DR STE B, MEMPHIS, TN 38134-7315
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
11/21/2020
Last updated
11/21/2020
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