Individual
MICHELLE WACKER JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
101 WALNUT LN, COLUMBIA, TN 38401-4943
(931) 381-3112
Mailing address
1422 HIGHVIEW DR APT H302, COLUMBIA, TN 38401-9402
(262) 573-0313
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8089
TN
Other
Enumeration date
06/26/2022
Last updated
06/26/2022
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