Individual
ALEXANDRA ELY HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
100 RIVER RD, LOUDON, TN 37774-1042
(865) 458-5411
Mailing address
90 HOWARD DR, SHELBYVILLE, KY 40065-8138
(502) 633-1007
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11400
TN
225100000X
Physical Therapist
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q044006
—
TN
Enumeration date
08/25/2017
Last updated
08/02/2022
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