Individual
COREY TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
656 MARSHALL AVE, MEMPHIS, TN 38103-3315
(901) 545-2225
(901) 881-1873
Mailing address
PO BOX 306393, NASHVILLE, TN 37230-6393
(615) 373-1350
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12851
TN
Other
Enumeration date
07/13/2020
Last updated
07/13/2020
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