Outlaw, Sequoyha Raechelle

Outlaw, Sequoyha Raechelle is an individual health care provider with primary practice located at 176C W University Pkwy # C , Jackson TN 38305-1616. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Outlaw, Sequoyha Raechelle can be contacted via phone (731) 300-4950.

Contact Information

Primary practice address
176C W University Pkwy # C Jackson TN 38305-1616
Fax: (731) 300-4951
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 12410 Tennessee

Profile Details

NPI number 1659921948
LBN Legal business name Outlaw, Sequoyha Raechelle
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2019
Last updated Sep 18th, 2019 - about 7 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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