Individual
TRACY LONGMARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
136 DAVIS LN, LA FOLLETTE, TN 37766-3118
(423) 566-0545
Mailing address
930 SUGAR HOLLOW RD, LA FOLLETTE, TN 37766-5831
(423) 437-8773
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5855
TN
Other
Enumeration date
11/11/2015
Last updated
11/11/2015
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