Individual
NATHANIEL P WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
420 RAILROAD ST, ELIZABETHTON, TN 37643-2504
(423) 297-1813
Mailing address
260 SUNNYFIELD DR, BLOUNTVILLE, TN 37617-3467
(423) 578-4643
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15442
TN
Other
Enumeration date
02/09/2024
Last updated
02/14/2024
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