SEQUOYHA RAECHELLE OUTLAW PT
Individual Provider (NPI-1)
Active
Physical Medicine & Rehabilitation
Provider Information
- NPI Number
1659921948- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PT
- Status
- Active
Contact & Location
- Address
- 176C W UNIVERSITY PKWY # C, JACKSON, TN, 383051616
- Phone
- (731) 300-4950
- Fax
- (731) 300-4951
Specialties & Taxonomies
Physical Medicine & Rehabilitation
Primary License: TN #12410