Organization
PROACTIVE ALLIANCE THERAPY & WELLNESS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB CLINTON HAMRICK PT, DPT (OWNER)
(731) 335-2117
Entity
Organization
Contact information
Practice address
181 HATCHER LN, CLARKSVILLE, TN 37043-5987
(731) 335-2117
Mailing address
377 FANTASY LN, CLARKSVILLE, TN 37043-1753
(731) 335-2117
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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