Individual
JASON D DORITY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
608 8TH AVE E, SPRINGFIELD, TN 37172-2910
(615) 384-8453
Mailing address
1003 RED OAK DR, GREENBRIER, TN 37073-4661
(615) 440-8694
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
A02948
KY
225200000X
Physical Therapy Assistant
Primary
PTA0000005266
TN
Other
Enumeration date
04/17/2018
Last updated
04/17/2018
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