Individual
DR. BRANDON SHANE TAYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
695 HENDERSON DR, CARTERSVILLE, GA 30120-3738
(770) 386-6300
(770) 382-0791
Mailing address
695 HENDERSON DR, CARTERSVILLE, GA 30120-3738
(770) 386-6300
(770) 382-0791
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT011896
GA
225100000X
Physical Therapist
PT8541
TN
225100000X
Physical Therapist
PTH5694
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1517399
—
TN
Enumeration date
11/24/2014
Last updated
08/10/2015
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