Individual
NATHAN YODER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
973 HIGHWAY 51 N STE 12, COVINGTON, TN 38019-1594
(901) 617-0100
Mailing address
104 CLINTON DR, BROWNSVILLE, TN 38012-6830
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14322
—
TN
Enumeration date
08/10/2022
Last updated
08/31/2022
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