Organization
KIRBY PHYSIOTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JARED HATHAWAY (DOCTOR)
(901) 566-1203
Entity
Organization
Contact information
Practice address
3558 KIRBY PKWY, MEMPHIS, TN 38115-4243
(901) 566-1203
(901) 566-1206
Mailing address
3558 KIRBY PKWY, MEMPHIS, TN 38115-4243
(901) 566-1203
(901) 566-1206
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2094
TN
Other
Enumeration date
03/01/2012
Last updated
03/01/2012
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