Individual
DUSTIN COLE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1360 BYPASS RD, WINCHESTER, TN 37398-2332
(931) 967-7082
Mailing address
1360 BYPASS RD, WINCHESTER, TN 37398-2332
(931) 967-7082
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA0000006611
TN
Other
Enumeration date
02/01/2022
Last updated
02/01/2022
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