Individual
LISA WOODARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
166 INDUSTRIAL DRIVE, DUCKTOWN, TN 37326
(423) 496-3245
Mailing address
8620 HORSESHOE BEND LN, OOLTEWAH, TN 37363-5605
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT000011286
TN
Other
Enumeration date
03/15/2023
Last updated
03/15/2023
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