Individual
JACOB HUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
789 TENNESSEE ST STE 101, BOLIVAR, TN 38008-2441
(731) 658-2206
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
—
Q029723
—
TN
Enumeration date
08/30/2018
Last updated
08/30/2018
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