Individual
IDA MICHELLE DAUGHTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1120 TWIN CIRCLE DRIVE, NASHVILLE, TN 37217
(205) 612-1715
Mailing address
1120 TWIN CIRCLE DRIVE, NASHVILLE, TN 37217
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9249
TN
Other
Enumeration date
10/22/2014
Last updated
10/22/2014
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