Organization
COURAGEOUS KIDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEATHER LAUREN JACKSON PT, DPT (FOUNDER)
(901) 496-1057
Entity
Organization
Contact information
Practice address
9263 OSBORN RD, ARLINGTON, TN 38002-5922
(901) 496-1057
Mailing address
9263 OSBORN RD, ARLINGTON, TN 38002-5922
(901) 496-1057
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
0000009799
TN
Other
Enumeration date
05/05/2017
Last updated
05/05/2017
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