Individual
GEOFFREY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2690 MADISON ST STE 120, CLARKSVILLE, TN 37043-5984
(931) 358-0559
(931) 358-0587
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
12372
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q029723
—
TN
Enumeration date
08/21/2019
Last updated
08/21/2019
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