SearchTennessee225XP0200X

Dominique Light, MOTR/L

NPI 1265980304 · on the registry since 2016

Practice

Address
176 W University Pkwy Ste E
Jackson, TN 38305
Phone
(313) 004-9507
Fax
(731) 300-4951
Organisation at this address
George A Vraney Md Pc
Patterson Physical Therapy Llc
Family Care Walk In Clinic, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
23

Registry record

Primary taxonomy
225XP0200X
225XP0200X
Also registered as
225X00000X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-10-22

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