Individual provider · NPI-1

Troy Brunson, DPT

Physical Therapist · Collierville, TN

NPI number1316570732
StatusActive
Last updated in NPPESFeb 13, 2020

Details

NPI
1316570732
Entity type
Individual (NPI-1)
Name
Troy Brunson
Credential
DPT
Sex
Male
Sole proprietor
Yes
Enumeration date
Feb 13, 2020
Certification date
Feb 13, 2020
Last updated
Feb 13, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist12481TNYes

Practice location

622 W Poplar Ave Ste 5
Collierville, TN 38017-2578

Phone 901-850-5246 · Fax 901-850-5226

Mailing address

622 W Poplar Ave Ste 5
Collierville, TN 38017-2578

Phone 901-850-5246 · Fax 901-850-5226

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