Individual
MR. JEREMY JEROME HURST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
412 JUANITA DR, HENDERSON, TN 38340-1949
(731) 989-7598
Mailing address
3385 OLD JACKS CREEK RD, HENDERSON, TN 38340-7716
(731) 989-2303
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0000004581
TN
Other
Enumeration date
02/14/2011
Last updated
02/14/2011
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