Individual
LISA MYLHOUSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
5045 OLD HICKORY BLVD, SUITE 101, HERMITAGE, TN 37076-2582
(615) 467-0261
Mailing address
5416 COCHRAN DR, NASHVILLE, TN 37220-2339
(615) 333-3126
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1864
TN
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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