Individual
MARK CLEVENGER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4610 CHAMBERLAIN LN, LOUISVILLE, KY 40241-1160
(502) 618-8200
(502) 618-8201
Mailing address
800 CRESCENT CENTRE DR STE 300, FRANKLIN, TN 37067-7285
(615) 416-0199
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/01/2019
Last updated
10/03/2019
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