Jackson David Clouse

NPI #1003478181 in Milan, Tennessee

Provider Information

NPI Number: 1003478181
Entity Type: Individual
Name: Jackson David Clouse
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Jun 28, 2019
Last Updated: Jun 28, 2019

Practice Location

Address: 2060 RHINO CROSSING
City: Milan
State: Tennessee
ZIP Code: 38358
Phone: (731) 613-2214

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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