Individual
DR. RONALD TRENT LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
617 W MAIN ST, HOHENWALD, TN 38462-1355
(931) 381-1111
(931) 380-4108
Mailing address
617 W MAIN ST, HOHENWALD, TN 38462-1355
(931) 381-1111
(931) 380-4108
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0000007410
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000007410
OPERATING LICENSE
TN
Enumeration date
02/19/2007
Last updated
07/08/2007
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