Individual
JONATHAN DALE JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2865 E MAIN ST, HUMBOLDT, TN 38343-3070
(731) 824-5817
Mailing address
2865 E MAIN ST, HUMBOLDT, TN 38343-3070
(731) 824-5817
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5455
TN
Other
Enumeration date
01/28/2019
Last updated
01/28/2019
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