Most Relevant Information
Provider Data
| NPI Number: | 1003596339 |
| Provider Name: | JON GOOD PTA PM |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | PTA0000006301 |
Most Important Dates
| Enumeration Date: | 07/21/2023 |
| Last Updated: | 07/21/2023 |
Provider Practice Location
825 RUNYAN DR
CHATTANOOGA
TN
374051225
Practice Location Phone/Fax
| Phone: | 4238754716 |
| Fax: | 4238754670 |
Provider Mailing Location
825 RUNYAN DR
CHATTANOOGA
TN
374051225
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |