Individual
IMAD S SULTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
313 BLUEBIRD DR STE B, GOODLETTSVILLE, TN 37072-2303
(615) 448-6446
(615) 467-8825
Mailing address
313 BLUEBIRD DR STE B, GOODLETTSVILLE, TN 37072-2303
(615) 448-6446
(615) 467-8825
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12046
TN
Other
Enumeration date
07/16/2017
Last updated
07/21/2022
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