Individual
HERAT VIDYUT DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
211 DUNBARCAVE ROAD, SUITE A, CLARKSVILLE, TN 37043-8848
(248) 259-5980
(931) 648-2225
Mailing address
211 DUNBARCAVE ROAD, SUITE A, CLARKSVILLE, TN 37043-8848
(248) 259-5980
(931) 648-2225
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8412
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3646052
PTAN
—
Enumeration date
12/11/2006
Last updated
09/10/2009
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