Individual
JEFFREY D LANSDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3525 CHERE CAROL RD, HUMBOLDT, TN 38343-3638
(731) 824-5551
(731) 824-5139
Mailing address
3525 CHERE CAROL RD, HUMBOLDT, TN 38343-3638
(731) 824-5551
(731) 824-5139
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2379
TN
Other
Enumeration date
06/16/2014
Last updated
06/16/2014
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