Individual
CASEY EISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
331 LANDRUM PL, CLARKSVILLE, TN 37043-6329
(931) 221-9967
Mailing address
331 LANDRUM PL, CLARKSVILLE, TN 37043-6329
(931) 221-9967
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7848
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7848
LICENSE
TN
Enumeration date
10/10/2007
Last updated
10/10/2007
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