Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TANNER BRYCE WILSON, PT, DPT
Active Sole ProprietorDR. TANNER BRYCE WILSON, PT, DPT is a Physical Therapy Clinic healthcare provider located in LEBANON, Kentucky. NPI 1821872987 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Clinic · LEBANON, KY
Registration Details
- NPI Number
- 1821872987
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 21, 2023 (3.0022393843462 yrs)
- Last Updated
- Aug 21, 2023
- License
-
008824 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
703 E MAIN ST UNIT 1LEBANON, KY, 400338696Browse KY providers · Browse ZIP 40033
- Phone
- 2706999503
- Primary Specialty
-
Physical Therapy Clinic
261QP2000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.