| Provider / Organization | NPI | Date Certified |
|---|---|---|
| GARY JUSTIN FARR | 1730788274 | 2020-10-24 |
Gary Justin Farr is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1730788274. Registration indicates Gary Justin Farr is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Massage Therapist (Massage Therapist, ) (Massage Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers)
| Entity Type | Individual |
| Provider Name | Gary Justin Farr LMT |
| Practice Office Address | 978 FRED FORD RD CROSSVILLE, TN US |
| Practice Office Telephone | 8656060333 |
| Mailing Address | 978 FRED FORD RD CROSSVILLE, TN 385710261 US |
| Business Telephone | 8656060333 |
| Code | Practice | License No State |
|---|---|---|
| 225700000X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Massage Therapist Massage Therapist Massage Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers | 10334
TN |