Individual
NICHOLAS TYSON BIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
8040 WOLF RIVER BLVD STE 102, GERMANTOWN, TN 38138-1773
(015) 226-4409
(901) 757-2507
Mailing address
8040 WOLF RIVER BLVD STE 102, GERMANTOWN, TN 38138-1773
(015) 226-4409
(901) 757-2507
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7603
TN
Other
Enumeration date
07/15/2014
Last updated
12/18/2020
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