Individual
JONATHAN HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
7895 STAGE HILLS BLVD STE 107, BARTLETT, TN 38133-4049
(901) 590-2379
Mailing address
4789 ELLENDALE RD, BARTLETT, TN 38135-1105
(901) 359-2569
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8816
TN
Other
Enumeration date
06/08/2017
Last updated
06/08/2017
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