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Benjamin Willy, ATC
NPI 1164854303 · on the registry since 2013
Practice
- Address
- 4150 Main St
Jasper, TN 37347 - Phone
- (423) 942-8073
- Fax
- (423) 942-6660
- Organisation at this address
- Agilitas Usa, Inc
Independent Physical Therapy LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Also registered as
- 2255A2300X
- Licence states on file
- TN, AR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-05-13
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