Individual
MRS. SHANNON KATHLEEN REESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5000 CROSSING CIRCLE, STE 100, MT JULIET, TN 37122
(615) 758-2490
(615) 758-2492
Mailing address
505 CEDAR BLUFF RD, HARTSVILLE, TN 37074-3926
(615) 374-3744
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA0000004685
TN
Other
Enumeration date
09/24/2013
Last updated
09/24/2013
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