Organization
DELTAFLEX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SKYLAR W JONES (PHYSICAL THERAPIST ASSISTANT)
(901) 482-9820
Entity
Organization
Contact information
Practice address
2639 CENTRAL AVE APT M3, MEMPHIS, TN 38104-5949
(901) 482-9820
Mailing address
2639 CENTRAL AVE APT M3, MEMPHIS, TN 38104-5949
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871843458
—
TN
Enumeration date
09/11/2012
Last updated
10/04/2013
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