Ian Carroll, PT

NPI #1205481124 in Madison, Tennessee

Provider Information

NPI Number: 1205481124
Entity Type: Individual
Name: Ian Carroll, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Aug 7, 2019
Last Updated: Aug 22, 2019

Practice Location

Address: 1919 GALLATIN PIKE N STE 102
City: Madison
State: Tennessee
ZIP Code: 37115-2064
Phone: (615) 859-3852

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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