Individual
BRANDON HERBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11680 HIGHWAY 51 S # A1, ATOKA, TN 38004-7604
(901) 837-0994
Mailing address
6600 STAGE RD STE 129, BARTLETT, TN 38134-3838
(901) 837-0994
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13765
TN
Other
Enumeration date
11/23/2021
Last updated
11/23/2021
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