Individual
BRANDON ALAN COFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2036 US HIGHWAY 45 BYP S, TRENTON, TN 38382-2941
(731) 855-4500
Mailing address
8200 TELECOM DR, MILAN, TN 38358-3499
(731) 487-4701
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0000006117
TN
Other
Enumeration date
01/22/2019
Last updated
01/22/2019
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