Individual
CRYSTAL LAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3131 TOM AUSTIN HWY, SPRINGFIELD, TN 37172-4801
(615) 382-7979
Mailing address
124 BRENTLY WOODS DR, CHATTANOOGA, TN 37421-4449
(423) 580-6598
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA0000003834
TN
Other
Enumeration date
03/13/2008
Last updated
03/13/2008
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