Individual
CAITLIN REEVES WHITEHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2320 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804-5316
(865) 273-8300
Mailing address
1128 LOOKING GLASS LN, KNOXVILLE, TN 37919-3745
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5105
TN
Other
Enumeration date
11/05/2018
Last updated
11/05/2018
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