GRANT BESHIRES
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1164286506- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 101 JACKSON WALK PLZ, JACKSON, TN, 383013008
- Phone
- (731) 421-6950
- Fax
- (731) 660-8739
Specialties & Taxonomies
Physical Therapy Assistant
Primary License: TN #5278