Individual
JOSEPH JACK SMITH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
741 PRESIDENT PL, SUITE 130, SMYRNA, TN 37167-6807
(615) 220-0086
(615) 220-1682
Mailing address
701 KELSEY CT, ANTIOCH, TN 37013-4449
(615) 315-9023
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7409
TN
Other
Enumeration date
03/09/2006
Last updated
07/08/2007
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