Individual
MRS. JACQUELINE PATRICE MCMICHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1710 MAGNOLIA BLVD, NASHVILLE, TN 37212-3764
(615) 383-2557
(615) 292-2061
Mailing address
1710 MAGNOLIA BLVD, NASHVILLE, TN 37212-3764
(615) 383-2557
(615) 292-2061
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
06004354A
IN
225200000X
Physical Therapy Assistant
Primary
6016
TN
Other
Enumeration date
11/18/2016
Last updated
11/18/2016
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