Individual
TRACEY REGENE COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2871 HIGHWAY 31 W, WHITE HOUSE, TN 37188-5226
(615) 672-3636
Mailing address
305 HANCOCK ST, NASHVILLE, TN 37207-5840
(615) 594-1266
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0000005548
TN
Other
Enumeration date
08/12/2018
Last updated
08/12/2018
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