NPI 1013167147

Gregory Preston, OTRL

Practitioner Contractor Madisonville, TN

Practice location

Address: 520 Cook St Suite D, Madisonville, TN 37354-1508
Phone: (423) 442-1440
Fax: (423) 442-1441

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence OT0000002673 (TN)

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Registry record

NPI: 1013167147
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Sep 2008
Record last updated: 25 Sep 2008

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.