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Individual

JACOB RUNIONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
410 N BROAD ST, NEW TAZEWELL, TN 37825-6606
(423) 381-8813
(423) 254-5311
Mailing address
325 W MORRIS BLVD STE B, MORRISTOWN, TN 37813-2237
(423) 375-8907
(423) 822-5514

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15850
TN

Other

Enumeration date
08/13/2024
Last updated
01/07/2026
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