Individual
JONATHAN ELMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2497 S ROANE ST STE 220, HARRIMAN, TN 37748-8689
(865) 882-9183
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7568
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA0000007298
TN
Other
Enumeration date
05/10/2021
Last updated
05/10/2021
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