Individual
DAVID A SELF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
2700 WESTSIDE DR NW, SUITE 301, CLEVELAND, TN 37312-3699
(423) 479-3600
(423) 303-1234
Mailing address
2700 WESTSIDE DR NW, SUITE 301, CLEVELAND, TN 37312-3699
(423) 479-3600
(423) 303-1234
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5299
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4096931
BCBS OF TN
TN
Enumeration date
12/15/2006
Last updated
11/19/2008
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