NPI 1306677083

Andrew Fultz, PT

Practitioner Physical Therapist Jefferson City, TN

Practice location

Address: 102 E Commerce CT, Jefferson City, TN 37760-3200
Phone: (865) 475-3101
Fax: (865) 475-9213

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 15862 (TN)

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Registry record

NPI: 1306677083
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Aug 2024
Record last updated: 16 Aug 2024

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.