Individual
MS. PENNY CAROLYN TIPPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1801 N JACKSON ST, TULLAHOMA, TN 37388-8259
(931) 393-7964
(931) 455-6308
Mailing address
1801 N JACKSON ST, TULLAHOMA, TN 37388-8259
(931) 393-7964
(931) 455-6308
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1688
TN
Other
Enumeration date
07/25/2007
Last updated
07/25/2007
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