Individual
JASON CONTROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 MADISON ST APT 622, NASHVILLE, TN 37208-1769
(770) 402-1802
Mailing address
100 MADISON ST APT 622, NASHVILLE, TN 37208-1769
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
9726
TN
225100000X
Physical Therapist
Primary
CP000903T
OR
Other
Enumeration date
12/16/2019
Last updated
12/16/2019
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