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Jeremiah Wisdom, DPT

Physical Therapist in Memphis, TN. Individual provider (NPI-1).

NPI number1699124271
StatusActive
Last updated in NPPESJun 6, 2016

Details

NPI
1699124271
Entity type
Individual (NPI-1)
Name
Jeremiah Wisdom
Credential
DPT
Sex
Male
Sole proprietor
No
Enumeration date
Jun 6, 2016
Last updated
Jun 6, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist––Yes

Practice location

5220 Park Ave
Suite 201
Memphis, TN 38119-3540

Phone 901-683-9630 · Fax 901-767-2663

Mailing address

800 Crescent Centre Dr
Suite 600
Franklin, TN 37067-7269

Phone 615-373-1350 · Fax 615-221-9054

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