Ronald Shane Wilson P.T., A.T.,C.

NPI 1629150941 - Specialist/Technologist - 2255A2300X

NPI Details
NPI 1629150941
Gender Male
Enumeration Date 10/19/2006
Last Updated 04/18/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
1050 N JAMES CAMPBELL BLVD
SUITE 110
COLUMBIA TN, 38401-2754, US
Phone (931) 381-2663
Fax (931) 490-1369
Business Location
1050 N JAMES CAMPBELL BLVD
SUITE 200
COLUMBIA TN, 38401-2754, US
Phone (931) 381-2663
Fax (931) 490-1369
Toxanomy
Taxonomy Code 2255A2300X
License State Tennessee
License Number 807
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According to our database, Ronald Shane Wilson P.T., A.T.,C. NPI is 1629150941, taxonomy code is 2255A2300X and license number is 807, license state is located at Tennessee. Ronald Shane Wilson P.T., A.T.,C. physically located at 1050 N James Campbell Blvd, Columbia TN, 38401-2754. NPI Number Ronald Shane Wilson P.T., A.T.,C. has the Individual type.

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1629150941 NPI number is provided on an as is basis without warranty of any kind. 1629150941 is maintained by the National Plan & Provider Enumeration System. The contents of Ronald Shane Wilson P.T., A.T.,C. are for informational purposes only.