Individual
MRS. LEIGH ANNE STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 E MITCHELL ST, HUMBOLDT, TN 38343-3036
(901) 486-0658
Mailing address
328 VISTA DR, MEDINA, TN 38355-6948
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6505
TN
225200000X
Physical Therapy Assistant
—
—
Other
Enumeration date
01/13/2019
Last updated
01/13/2019
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