Organization
KING VENTURES
Active
Other names
Good Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCUS ANTWAN PEARSON PT (PHYSICAL THERAPIST/OWNER)
(931) 552-2804
Entity
Organization
Contact information
Practice address
2766 WILMA RUDOLPH BLVD, SUITE A, CLARKSVILLE, TN 37040-5837
(931) 552-2804
(931) 552-2809
Mailing address
2766 WILMA RUDOLPH BLVD, SUITE A, CLARKSVILLE, TN 37040-5837
(931) 552-2804
(931) 552-2809
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
03/05/2014
Last updated
03/05/2014
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