Individual
TIFFANY SALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
700 WILLIAMS FERRY RD, LENOIR CITY, TN 37771-7375
(865) 986-3583
Mailing address
913 HUDSON ST, SWEETWATER, TN 37874-3111
(423) 836-1167
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA0000006844
TN
Other
Enumeration date
12/06/2018
Last updated
01/08/2019
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