Individual
MR. JERRY EDWARD PRESLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2265 PARR AVE, DYERSBURG, TN 38024-2078
(731) 285-6600
(731) 285-8005
Mailing address
2265 PARR AVE, DYERSBURG, TN 38024-2078
(731) 285-6600
(731) 285-8005
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0000005425
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3687549
—
TN
01
—
PT0000005425
PHYSICAL THERAPY LICENSE
TN
Enumeration date
06/12/2006
Last updated
01/20/2011
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