Individual
NATHAN HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
323 W SAM RIDLEY PKWY, SMYRNA, TN 37167-5625
(615) 220-1417
Mailing address
9762 N RED BRIDGE RD, EAGLE MOUNTAIN, UT 84005-1211
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13835573-2401
UT
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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