Individual
DEREK J LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2415 LATIMER RD, UNION CITY, TN 38261-8015
(615) 430-5079
Mailing address
2415 LATIMER RD, UNION CITY, TN 38261-8015
(615) 430-5079
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
007444
KY
225100000X
Physical Therapist
Primary
PTL0016326
CO
Other
Enumeration date
10/29/2019
Last updated
10/29/2019
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