| Doctor Name: | JONATHAN MACE |
| NPI Number: | 1043667553 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT |
| License Number: | |
| Business Practice Address: | 8110 Camp Creek Rd Suite 106 Olive Branch, MS - 386541614 |
| Business Phone Number: | 6628931933 |
| Business Fax Number: | 6628931934 |
| Mailing Address: | 800 Crescent Centre Dr, Suite 600 FRANKLIN |
| State: | TN |
| Postal Code: | 370677269 |
| Phone Number: | 6153731350 |
| Fax Number: | 6152219054 |
| NPI Enumeration Date: | 05/16/2016 |
| NPI Last Update Date: | 05/16/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |