Individual
MR. LUIS MANUEL DEL RIO II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
813 S DICKERSON RD, GOODLETTSVILLE, TN 37072-1761
(615) 859-6600
Mailing address
111 28TH ST, OLD HICKORY, TN 37138-2511
(615) 812-0371
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4797
TN
Other
Enumeration date
12/09/2010
Last updated
12/09/2010
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