Individual
SAM MULLANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1725 SCOTTSVILLE RD, BOWLING GREEN, KY 42104-3349
(270) 467-9969
(270) 467-0716
Mailing address
PO BOX 306393, NASHVILLE, TN 37230-6393
(615) 373-1350
(615) 373-7116
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
13630
TN
225100000X
Physical Therapist
Primary
CP015253T
KY
Other
Enumeration date
07/22/2021
Last updated
12/16/2022
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