Individual
AUBREY GLENN THOMPSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
115 CUMBERLAND PLZ, CROSSVILLE, TN 38555-4292
(931) 787-1244
(931) 787-1245
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT6104
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0446652
—
TN
01
—
3156797
BCBST GROUP #
TN
01
—
P00626473
RAILROAD
TN
Enumeration date
04/14/2008
Last updated
04/05/2019
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