Individual
BRUCE JACKSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1272 GARRISON DR STE 303, MURFREESBORO, TN 37129-0053
(615) 849-9358
(615) 849-9360
Mailing address
PO BOX 306393, NASHVILLE, TN 37230-6393
(615) 373-1350
(615) 373-7116
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13754
TN
225100000X
Physical Therapist
—
TN
Other
Enumeration date
08/02/2021
Last updated
09/01/2021
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