Individual
MR. DAVE MARELL FAIRLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RKT
Contact information
Practice address
1030 JEFFERSON AVE, MEMPHIS, TN 38104-2127
(901) 523-8990
(901) 577-7459
Mailing address
1309 GREENBROOK BND, APT 2, MEMPHIS, TN 38134-8696
(901) 340-5498
Taxonomy
Speciality
Code
Description
License number
State
226300000X
Kinesiotherapist
Primary
—
—
Other
Enumeration date
06/28/2006
Last updated
07/08/2007
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