Individual
MICAH WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5651 FRIST BLVD STE 200, HERMITAGE, TN 37076-2056
(615) 885-0200
Mailing address
3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 37072-3132
(615) 239-2018
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8110
TN
225100000X
Physical Therapist
PTH5085
AL
Other
Enumeration date
10/09/2007
Last updated
04/29/2025
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