Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 9524 | TN |
NPI | 1003076480 |
---|---|
Provider Name | Clayton H Jones |
First Address | Germantown, TN 38138-2205 |
Second Address | Collierville, TN 38017-6516 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2008 |
Last Update Date | 27/03/2017 |