Presley, Jerry Edward

Presley, Jerry Edward is an sole proprietor health care provider with primary practice located at 2265 Parr Ave , Dyersburg TN 38024-2078. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Presley, Jerry Edward can be contacted via phone (731) 285-6600.

Contact Information

Primary practice address
2265 Parr Ave Dyersburg TN 38024-2078
Phone: (731) 285-6600
Fax: (731) 285-8005
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT0000005425 Tennessee

Profile Details

NPI number 1669414629
LBN Legal business name Presley, Jerry Edward
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 12th, 2006
Last updated Jan 20th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669414629 NPPES
Tennessee Other PT0000005425 PHYSICAL THERAPY LICENSE
Tennessee MEDICAID 3687549 PHYSICAL THERAPY LICENSE

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