Individual
STACY MICHELLE HOWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
430 OAK GROVE RD, ROGERSVILLE, TN 37857-3455
(423) 921-4014
Mailing address
430 OAK GROVE RD, ROGERSVILLE, TN 37857-3455
(423) 921-4014
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5381
TN
Other
Enumeration date
11/28/2018
Last updated
11/28/2018
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