Jonathon Wyatt, PTA

NPI #1265097562 in Sparta, Tennessee

Provider Information

NPI Number: 1265097562
Entity Type: Individual
Name: Jonathon Wyatt, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: May 2, 2019
Last Updated: May 2, 2019

Practice Location

Address: 34 GRACEY ST
City: Sparta
State: Tennessee
ZIP Code: 38583-2046
Phone: (931) 836-2211

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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