Doctor Name: | BRYAN E THORNE |
NPI Number: | 1073545182 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 3958 |
Business Practice Address: | 544 Roland Ave Jackson, TN - 383014302 |
Business Phone Number: | 7314216950 |
Business Fax Number: | 7314216999 |
Mailing Address: | 1804 Highway 45 Byp, Ste 604 JACKSON |
State: | TN |
Postal Code: | 383054436 |
Phone Number: | 7316608759 |
Fax Number: | |
NPI Enumeration Date: | 07/07/2006 |
NPI Last Update Date: | 07/17/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 3958 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
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 |