Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251S0007X | Physical Therapist - Sports | 10483 | TN |
NPI | 1386952273 |
---|---|
Provider Name | David Jennings |
First Address | Nolensville, TN 37135-2102 |
Second Address | Franklin, TN 37067-1801 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2010 |
Last Update Date | 16/09/2019 |