| Doctor Name: | JEREMIAH WAKEFIELD |
| NPI Number: | 1972613883 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | |
| Business Practice Address: | 111 Luther Rd Suite 6 Dickson, TN - 370552112 |
| Business Phone Number: | 6157409782 |
| Business Fax Number: | 6157408510 |
| Mailing Address: | Po Box 681478, FRANKLIN |
| State: | TN |
| Postal Code: | 370681478 |
| Phone Number: | 6155916590 |
| Fax Number: | 6155916601 |
| NPI Enumeration Date: | 08/30/2006 |
| NPI Last Update Date: | 01/19/2015 |
| 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 |