Individual
MS. ALTHEA LASHUN HENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3949 CHARLESTON RD, MASON, TN 38049-0265
(901) 294-3164
Mailing address
PO BOX 265, MASON, TN 38049-0265
(901) 294-3164
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4257
TN
Other
Enumeration date
08/27/2008
Last updated
08/27/2008
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