Individual
MICHELLE HOBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
315 N WASHINGTON AVE STE 240, COOKEVILLE, TN 38501-2660
(931) 854-1203
Mailing address
PO BOX 9118, MINNEAPOLIS, MN 55480-9118
(615) 329-2294
(615) 695-1494
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12897
TN
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0446631
—
TN
Enumeration date
06/16/2020
Last updated
10/07/2022
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