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Search › Tennessee › 225200000X

Douglas Stephenson, PTA

NPI 1003478900 · on the registry since 2019 · sole proprietor

Practice

Address
129 Hillcrest Dr
Byrdstown, TN 38549
Phone
(931) 864-3162
Organisation at this address
Lp Byrdstown Llc
Hqm Of Byrdstown, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
225200000X
225200000X
Also registered as
225200000X
Licence states on file
KY, TN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-07-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee