Individual
TAMMY ANN MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4721 POPLAR VIEW DR, LOUISVILLE, KY 40216-2233
(502) 345-2572
Mailing address
PO BOX 161172, LOUISVILLE, KY 40256-1172
(502) 345-2572
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/26/2008
Last updated
09/26/2008
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