Individual
ANDREW BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2649 HUNTSVILLE HWY, FAYETTEVILLE, TN 37334-6778
(931) 557-5030
Mailing address
2649 HUNTSVILLE HWY, FAYETTEVILLE, TN 37334-6778
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16924
TN
Other
Enumeration date
02/13/2026
Last updated
02/13/2026
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