Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225200000X | Physical Therapy Assistant |
NPI | 1003351123 |
---|---|
Provider Name | Jeffrey Scott Tarpley |
First Address | Columbia, TN 38401-8191 |
Second Address | Columbia, TN 38401-4903 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/12/2016 |
Last Update Date | 28/12/2016 |