Provider Demographics
NPI:1578680427
Name:MCLEAN, JOE JR (PT, ATC)
Entity Type:Individual
Prefix:
First Name:JOE
Middle Name:
Last Name:MCLEAN
Suffix:JR
Gender:M
Credentials:PT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5601 CLOVERLAND DR
Mailing Address - Street 2:UNIT 116
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-1744
Mailing Address - Country:US
Mailing Address - Phone:615-371-8079
Mailing Address - Fax:
Practice Address - Street 1:5601 CLOVERLAND DR
Practice Address - Street 2:UNIT 116
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-1744
Practice Address - Country:US
Practice Address - Phone:615-371-8079
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Not Answered2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer