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Individual

MONTY LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
725 S JAMES CAMPBELL BLVD, COLUMBIA, TN 38401-5962
(931) 490-4600
Mailing address
725 JAMES CAMPBELL BLVD, COLUMBIA, TN 38401
(931) 490-4600

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00000001737
TN

Other

Enumeration date
04/18/2017
Last updated
04/18/2017
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