Organization
SADDLED SOULS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN CROCKER (OWNER)
(931) 216-9095
Entity
Organization
Contact information
Practice address
900 VAUGHAN RD, CLARKSVILLE, TN 37043-5321
(931) 216-9095
Mailing address
900 VAUGHAN RD, CLARKSVILLE, TN 37043-5321
(931) 216-9095
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
12/09/2022
Last updated
12/09/2022
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