NPI 1003478181

Jackson David Clouse

Practitioner Physical Therapist Milan, TN

Practice location

Address: 2060 Rhino Crossing, Milan, TN 38358
Phone: (731) 613-2214
Mailing address: PO Box 1004, Milan, TN 38358-1004

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 12254 (TN)

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Registry record

NPI: 1003478181
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Jun 2019
Record last updated: 28 Jun 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.