Individual
MR. MICHAEL WESLEY DUCKWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1458 W POPLAR AVE, COLLIERVILLE, TN 38017-0630
(901) 759-5491
(901) 759-5493
Mailing address
1458 W POPLAR AVE, COLLIERVILLE, TN 38017-0630
(901) 759-5491
(901) 759-5493
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
4589
MS
2251X0800X
Orthopedic Physical Therapist
Primary
8803
TN
Other
Enumeration date
09/11/2014
Last updated
09/11/2014
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