Individual
CASEY E CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
8059 STAGE HILLS BLVD, SUITE 104, BARTLETT, TN 38133-4047
(901) 383-4515
(901) 383-4505
Mailing address
10104 WOODLAND BIRCH CV, LAKELAND, TN 38002-3950
(901) 355-6406
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8743
TN
Other
Enumeration date
09/13/2010
Last updated
08/05/2014
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