Individual
KADARIUS JACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
13690 HIGHWAY 51 S STE 104, ATOKA, TN 38004-7645
(901) 259-4254
(901) 725-8353
Mailing address
13690 HIGHWAY 51 S STE 104, ATOKA, TN 38004-7645
(901) 259-4254
(901) 725-8353
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16552
TN
Other
Enumeration date
07/19/2022
Last updated
06/14/2025
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