Individual
MISTY SWINDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
514 S HIGH ST, WAYNESBORO, TN 38485-2615
(931) 722-2778
(931) 722-7569
Mailing address
190 MAYS TOWN RD, PARSONS, TN 38363-3016
(731) 845-6435
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6510
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6510
STATE PHYSICAL THERAPY ASSISTANT LICENSURE
TN
Enumeration date
06/13/2017
Last updated
06/13/2017
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