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Organization

LIFT THERAPY, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BARTLEY TEAGUE (EXECUTIVE DIRECTOR)
(731) 512-1277
Entity
Organization

Contact information

Practice address
101 JACKSON WALK PLZ, JACKSON, TN 38301-3008
(731) 421-6850
(731) 660-8739
Mailing address
101 JACKSON WALK PLZ, JACKSON, TN 38301-3008
(731) 421-6850
(731) 660-8739

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
09/13/2023
Last updated
09/13/2023
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