OrganizationActive
360 PT Wellness Physical Therapy
NPI 1194135699 · Physical Therapist · Clarksville, TN
Provider details
- NPI number
- 1194135699
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Authorized official
- Jalpa Domadia, Office Manager
- License
- 9740 (TN)
Practice location
2233 Stokes Rd
Suite a
Clarksville, TN 37043-1818
Phone: (931) 648-2224
Mailing address
2233 Stokes Rd
Clarksville, TN 37043-1818
Registry dates
- Enumerated
- 2014-05-06
- Last updated
- 2014-05-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.