Individual
IRIS ECHAVEZ CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
809 COLUMBIA HWY, HOHENWALD, TN 38462-2406
(931) 628-4805
Mailing address
809 COLUMBIA HWY, HOHENWALD, TN 38462-2406
(931) 628-4805
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA5605
TN
Other
Enumeration date
08/02/2017
Last updated
07/21/2022
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