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Individual

THOMAS VANTREASE III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
110 GLEN OAK CT E, HENDERSONVILLE, TN 37075-3052
(615) 969-4361
Mailing address
110 GLEN OAK CT E, HENDERSONVILLE, TN 37075-3052
(615) 969-4361

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5825
TN
225700000X
Massage Therapist
4302
TN

Other

Enumeration date
11/06/2014
Last updated
11/06/2014
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