Organization
CLARKSVILLE PHYSICAL MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH GILMAN (ADMINISTRATOR)
(931) 801-0550
Entity
Organization
Contact information
Practice address
1636 MADISON ST, CLARKSVILLE, TN 37043-2977
(931) 801-0550
Mailing address
1636 MADISON ST, CLARKSVILLE, TN 37043-2977
(931) 801-0550
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
208D00000X
General Practice Physician
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
01/22/2020
Last updated
11/07/2024
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